Individual
CHESTON BLAIR GUEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2975 FORT HENRY DRIVE, KINGSPORT, TN 37664
(423) 247-2151
(423) 247-1594
Mailing address
2975 FORT HENRY DRIVE, KINGSPORT, TN 37664
(423) 247-2151
(423) 247-1594
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7139
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7139
DENTIST
TN
Enumeration date
02/26/2007
Last updated
07/08/2007
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