Organization
KINGSTON DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVON ELIZABETH HULSE D.D.S. (BOARD MEMBER)
(865) 640-5283
Entity
Organization
Contact information
Practice address
1212 N KENTUCKY ST, KINGSTON, TN 37763-2328
(865) 717-3586
(865) 717-3581
Mailing address
1203 OLD N KENTUCKY ST, KINGSTON, TN 37763-2358
(865) 717-3586
(865) 717-3581
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8110
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515194
—
TN
Enumeration date
08/18/2008
Last updated
10/02/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us