Individual
DR. MEAGHAN ELYCE GUEST WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2975 FORT HENRY DR, KINGSPORT, TN 37664-4005
(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
4135
SC
122300000X
Dentist
Primary
8420
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4135
DENTIST
SC
01
—
8420
DENTIST
TN
Enumeration date
02/27/2007
Last updated
08/15/2024
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