| Mobile Unit 24 | |
|
820 N Kentucky St Kingston TN 37763-2635 | |
| (865) 804-2531 | |
| (865) 966-1229 |
| Full Name | Mobile Unit 24 |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 820 N Kentucky St, Kingston, Tennessee |
| Authorized Official Name and Position | Evon Hulse (OWNER) |
| Authorized Official Contact | 8658042531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Unit 24 820 N Kentucky St Kingston TN 37763-2635 Ph: (865) 804-2531 | Mobile Unit 24 820 N Kentucky St Kingston TN 37763-2635 Ph: (865) 804-2531 |
| NPI Number | 1174782007 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 05/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174782007 | NPI | - | NPPES |
| 18362 | Other | TN | DORAL DENTAL OF TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8110 (Tennessee) | Primary |
Kingston Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 N Kentucky St, Kingston, TN 37763 Phone: 865-717-3586 Fax: 865-717-3581 | |
Lakeview Dental Arts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Waterford Pl, Kingston, TN 37763 Phone: 865-376-9687 | |
Mobile 33 Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 N Kentucky St, Kingston, TN 37763 Phone: 865-804-2465 Fax: 865-966-1229 | |
Mobile 4 Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 N Kentucky St, Kingston, TN 37763 Phone: 865-804-2531 Fax: 865-966-1229 | |
Mobile 39 Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 N Kentucky St, Kingston, TN 37763 Phone: 865-804-2465 Fax: 865-966-1229 | |
Mobile Unit 22 Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 N Kentucky St, Kingston, TN 37763 Phone: 865-804-2465 Fax: 865-966-1229 |