is a Oral and Maxillofacial Dental Clinic in Kingsport, Tennessee. It is located at 117 W Sevier Ave, Suite 220, Kingsport, TN and its contact number is 423-224-3200. The authorized person for is Ms. Donna L Fuller
who is Office Manager of the clinic and their contact number is 423-224-3200. Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
117 W Sevier Ave, Suite 220, Kingsport, Tennessee, 37660-3799
Phone:
423-224-3200
Fax:
423-224-3208
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Ms. Donna L Fuller
Position:
Office Manager
Contact Number:
423-224-3200
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1972504389
NPI Enumeration Date:
09 Aug, 2005
NPI Last Update On:
01 Mar, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1154322451
Other
Tennessee
Michael L Hamlin Ind. Npi
1295736304
Other
Tennessee
L Alan Bacon Ind. Npi
1023019254
Other
Tennessee
John R Collins Ind. Npi
1295736569
Other
Tennessee
Carl W Eilers, Jr Ind Npi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
117 W Sevier Ave, Suite 220 Kingsport, Tennessee
Zip:
37660-3799
Phone Number:
423-224-3200
Fax Number:
423-224-3208
Patients can reach at 117 W Sevier Ave, Suite 220, Kingsport, Tennessee or can call to book an appointment on 423-224-3200. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.