Individual
AUSTIN GAMBREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1647 E STONE DR, KINGSPORT, TN 37660-4609
(615) 552-6453
Mailing address
1647 E STONE DR, KINGSPORT, TN 37660-4609
(615) 552-6453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10758
KY
1223G0001X
General Practice Dentistry
Primary
12123
TN
Other
Enumeration date
05/17/2022
Last updated
02/28/2023
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