Individual
DR. DAVID THOMAS KIZER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7685 WOLF RIVER CIR, SUITE #102, GERMANTOWN, TN 38138-1749
(901) 767-4882
(901) 767-8641
Mailing address
7685 WOLF RIVER CIR, SUITE #102, GERMANTOWN, TN 38138-1749
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS05364
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0159958
BLUE CROSS BLUE SHIELD
TN
01
—
838733
UNITED CONCORDIA
—
Enumeration date
11/29/2005
Last updated
07/08/2007
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