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Organization
FAMILY DENTAL CENTER TRICITIES, PC
Active
Organization
FAMILY DENTAL CENTER TRICITIES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TATUM L KINDER DDS (DENTIST)
(423) 247-6961
Entity
Organization
Contact information
Practice address
116 JACK WHITE DR STE 12, KINGSPORT, TN 37664-2379
(423) 247-6961
(423) 247-5552
Mailing address
116 JACK WHITE DR STE 12, KINGSPORT, TN 37664-2379
(423) 247-6961
(423) 247-5552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8105
INSURANCE COMPANIES
TN
Enumeration date
10/12/2021
Last updated
10/12/2021
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