Individual
DR. LARRY AUSTIN PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2348 VOLUNTEER PARKWAY, BRISTOL, TN 37620
(423) 968-7871
(423) 968-7871
Mailing address
2348 VOLUNTEER PARKWAY, BRISTOL, TN 37620
(423) 968-7871
(423) 968-7871
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3204
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0161023
BCBS TN
TN
01
—
036969
ANTHEMBCBS VA
VA
05
—
3225468
—
TN
Enumeration date
10/04/2006
Last updated
07/08/2007
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