Individual
KEITH DAVID GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
493 HENSLEE DR, DICKSON, TN 37055-2166
(615) 446-0106
(615) 446-1052
Mailing address
493 HENSLEE DR, DICKSON, TN 37055-2166
(615) 446-0106
(615) 446-1052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS00004695
TN
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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