Kingston Dental Llc in Kingston - General Practice

Kingston Dental Llc - NPI 1083860498

Kingston Dental Llc is a General Practice in Kingston, Tennessee. Kingston Dental Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kingston Dental Llc is 1083860498. The last update date is 2012-10-02.

Kingston Dental Llc's current location address is 1203 Old N Kentucky St, Kingston, Tennessee. You can contact this provider via phone number 8657173586 and fax number 8657173581. The mailing address for Kingston Dental Llc is 1203 Old N Kentucky St, Kingston, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kingston Dental Llc
Address 1203 Old N Kentucky St, Kingston, Tennessee
Phone Number 8657173586
Fax Number 8657173581
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BOARD MEMB
Authorized Official Name Hulse Elizabeth Evon
Credentials D.D.S.
Telephone Number 8656405283

NPI Number Detail

NPI Number 1083860498
Provider Enumeration Date 2008-08-18
Last Updated Date 2012-10-02

Provider Mailing Address Detail

Address 1203 Old N Kentucky St
City Kingston
State Tennessee (TN)
Post Code 377632358
Phone Number 8657173586
Fax Number 8657173581

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 8110
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1515194 TN --

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FAQs about Kingston Dental Llc

What is the unique 10-digit identification code assigned to Kingston Dental Llc by the Centers for Medicare & Medicaid Services?

The Kingston Dental Llc has been issued the NPI (National Provider Identifier) 1083860498, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kingston Dental Llc's facilities are geographically located?

The facilities of Kingston Dental Llc are physically situated at the following location: 1203 Old N Kentucky St, Kingston, TN, 377632358.

What is Kingston Dental Llc's area of expertise and its corresponding taxonomy classification?

The Kingston Dental Llc's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

On what date did the Kingston Dental Llc receive its 1083860498 assignment from the Centers for Medicare & Medicaid Services?

The Kingston Dental Llc was assigned its 1083860498 by the Centers for Medicare & Medicaid Services on 2008-08-18.

As of what date were the details pertaining to Kingston Dental Llc last refreshed?

The information related to the Kingston Dental Llc, including its address, specialty, and other relevant details, was last updated on 2012-10-02.

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