Organization
DANIEL M DIETRICH, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY THOMPSON (BUSINESS ASSISTANT)
(423) 246-7900
Entity
Organization
Contact information
Practice address
1105 W STONE DR, KINGSPORT, TN 37660-2558
(423) 246-7900
(423) 246-1503
Mailing address
1105 W STONE DR, KINGSPORT, TN 37660-2558
(423) 246-7900
(423) 246-1503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3041
TN
1223G0001X
General Practice Dentistry
5285
TN
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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