DR. ERIC BRADLEY WING (NPI# 1487845970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487845970 |
| Entity Type | Individual |
| Full Name | DR. ERIC BRADLEY WING |
| Credential | D.D.S. |
| Practice Address |
613 Watauga St Suite E Kingsport TN 37660-4429 |
| Practice Telephone | 4232477741 |
| Practice Fax Number | 4232477441 |
| Mailing Telephone | 4232477741 |
| Mailing Fax Number | 4232477441 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS-8730 | TN | Dental Providers |
| Street Address |
613 WATAUGA ST SUITE E |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780695353 | P & S Pharmacy | Pharmacy | 613 Watauga St, Kingsport, TN 37660-4429 | 2006-08-10 |
| 1902414493 | Chaz M Ainsworth | Dentist | 613 Watauga St, Kingsport, TN 37660-4429 | 2020-07-21 |
| 1992326664 | Jj Beans At P&s LLC | Pharmacy | 613 Watauga St, Kingsport, TN 37660-4429 | 2020-05-04 |
| 1700303922 | Appalachian Dental Group Pllc | Dentist | 613 Watauga St, Ste C, D, & E, Kingsport, TN 37660-4429 | 2017-08-28 |
| 1144758574 | Brennan Kane Humphreys | Dentist | 613 Watauga St, Kingsport, TN 37660-4429 | 2017-05-30 |
| 1396936316 | Douglas Clayton Mullins II & Angel Kaye Mullins, Dds, Pllc | Dentist | 613 Watauga St, Suite E, Kingsport, TN 37660-4429 | 2007-08-05 |
| 1114118130 | Watauga Dental Center, Pllc | Dentist | 613 Watauga St, Suites C, D & E, Kingsport, TN 37660-4429 | 2007-08-05 |
| 1114120151 | Jeffrey Brian Mercer | Dentist | 613 Watauga St, Kingsport, TN 37660-4429 | 2007-06-07 |
| 1467662809 | Kingsport Family Chiropractic Clinic | Chiropractor | 613 Watauga St, Kingsport, TN 37660-4429 | 2007-05-23 |
| 1952528010 | Andrew Ray Hagan | Dentist | 613 Watauga St, Suite D, Kingsport, TN 37660-4429 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417516733 | Bradley Bishop Diminick | Dentist | 2975 Fort Henry Dr Ste A, Kingsport, TN 37664-4005 | 2019-06-10 |
| 1679076954 | Christopher A Hillman | Dentist | 1599 Fort Henry Dr Ste 102, Kingsport, TN 37664 | 2018-03-13 |
| 1619351251 | Brookstone Dental, Pllc | Dentist | 4260 Fort Henry Dr, Ste 13, Kingsport, TN 37663-2248 | 2015-07-14 |
| 1164709531 | Hagan Dentistry, P.l.l.c | Dentist | 150 Clinic Dr Ste A, Kingsport, TN 37663-2254 | 2011-11-13 |
| 1316100209 | Kendra Stanley Francis | Dentist | 1309 S John B Dennis Hwy, Suite 104, Kingsport, TN 37660-5445 | 2008-07-09 |
| 1831364827 | David Allan Guy | Dentist | 150 Clinic Dr Ste B, Kingsport, TN 37663-2254 | 2008-04-29 |
| 1306961487 | Timothy Ross Martin | Dentist | 1599 Fort Henry Drive, Kingsport, TN 37664 | 2007-03-20 |
| 1669504049 | John Everett Tanner | Dentist | 2701 Bloomingdale Rd, Kingsport, TN 37660-1854 | 2007-03-11 |
| 1417097999 | David Wendell Foulk | Dentist | 2300 Memorial Blvd, Kingsport, TN 37664-3341 | 2007-02-07 |
| 1316093396 | Jerry Marvin Crowe Jr. | Dentist | 1109 N Eastman Rd, Kingsport, TN 37664-3156 | 2007-01-25 |
| Find all providers in KINGSPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.