Individual
DR. DENNIS CHARLES DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2202 N JOHN B DENNIS HWY STE 204, KINGSPORT, TN 37660-5904
(423) 245-1040
(423) 245-1869
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
20A17849
CA
207VX0201X
Gynecologic Oncology Physician
20A17849
CA
207VX0201X
Gynecologic Oncology Physician
Primary
5369
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000381
STATE LICENSE
LA
05
—
2369351
—
LA
Enumeration date
05/28/2008
Last updated
01/09/2026
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