Individual
JASON SCOTT CADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1920 BROOKSIDE DR STE 11, KINGSPORT, TN 37660-4613
(423) 246-7381
Mailing address
1920 BROOKSIDE DR STE 11, KINGSPORT, TN 37660-4613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000006889
TN
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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