| Kids Dental Center, Gp | |
|
1805 Keith St Nw Cleveland TN 37311-4306 | |
| (423) 458-4147 | |
| (423) 458-4148 |
| Full Name | Kids Dental Center, Gp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1805 Keith St Nw, Cleveland, Tennessee |
| Authorized Official Name and Position | Blain Reynolds (OWNER/DENTIST) |
| Authorized Official Contact | 4234584147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Center, Gp 1805 Keith St Nw Cleveland TN 37311-4306 Ph: (423) 458-4147 | Kids Dental Center, Gp 1805 Keith St Nw Cleveland TN 37311-4306 Ph: (423) 458-4147 |
| NPI Number | 1932789880 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/29/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932789880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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