Organization
DWIGHT A DEBOW DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT A DEBOW DDS MS (DENTIST - ORTHODONTIST)
(423) 247-5137
Entity
Organization
Contact information
Practice address
1203 N WILCOX DR, KINGSPORT, TN 37660-4971
(423) 247-5137
Mailing address
1203 N WILCOX DR, KINGSPORT, TN 37660-4971
(423) 247-5137
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS 2129
TN
Other
Enumeration date
06/15/2005
Last updated
08/22/2020
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