| Brookstone Dental, Pllc | |
|
4260 Fort Henry Dr Ste 13 Kingsport TN 37663-2248 | |
| (423) 239-6594 | |
| Not Available |
| Full Name | Brookstone Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4260 Fort Henry Dr, Kingsport, Tennessee |
| Authorized Official Name and Position | Kevin W. Martin (OWNER) |
| Authorized Official Contact | 4232478172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookstone Dental, Pllc 4260 Fort Henry Dr Ste 13 Kingsport TN 37663-2248 Ph: (423) 239-6594 | Brookstone Dental, Pllc 4260 Fort Henry Dr Ste 13 Kingsport TN 37663-2248 Ph: (423) 239-6594 |
| NPI Number | 1619351251 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 07/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619351251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8093 (Tennessee) | Primary |
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