BROOKSTONE DENTAL, PLLC (NPI# 1619351251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619351251 |
| Entity Type | Organization |
| Organization Name | BROOKSTONE DENTAL, PLLC |
| Practice Address |
4260 Fort Henry Dr Ste 13 Kingsport TN 37663-2248 |
| Practice Telephone | 4232396594 |
| Mailing Telephone | 4232396594 |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |
| Authorized Official Name | KEVIN W. MARTIN (OWNER) |
| Authorized Official Telephone | 4232478172 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8093 | TN | Dental Providers |
| Street Address |
4260 FORT HENRY DR STE 13 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37663-2248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275919128 | Wilson Reid Lowther | Dentist | 4260 Fort Henry Dr, Ste 13, Kingsport, TN 37663-2248 | 2015-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649528126 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 1567 North Eastman Road, Kingsport, TN 37663 | 2012-08-15 |
| 1548546419 | Vickie R Harris | Counselor | 317 Pitt Road, Kingsport, TN 37663 | 2011-10-24 |
| 1467746446 | Eric A. Echard | Dentist | 1339 Moreland Drive, Suite 1, Kingsport, TN 37663 | 2011-06-07 |
| 1619003399 | Colonial Heights Pharmacy, Inc. | Pharmacy | 4221 Ft. Henry Drive, Kingsport, TN 37663 | 2007-02-26 |
| 1316005986 | Robert F Mcamis Jr. | Dentist | 4016 Fort Henry Drive, Kingsport, TN 37663 | 2006-12-05 |
| 1467567412 | Colonial Heights Dental Assocaites | Dentist | 150 Clinic Drive, Suite A, Kingsport, TN 37663 | 2006-08-20 |
| 1194777953 | Nicholas Brett Smith | Family Medicine | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2006-05-17 |
| 1396720108 | Resp-i-care, Inc. | Durable Medical Equipment & Medical Supplies | 648 Eastern Star Rd, Kingsport, TN 37663 | 2005-12-14 |
| 1023000429 | Darryl Fontaine | Anesthesiology | 4105 Fort Henry Drive, Suite 207, Kingsport, TN 37663 | 2005-08-22 |
| 1659701696 | Jordan Burke | Physician Assistant | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2013-11-12 |
| Find all providers in zip 37663 | ||||
| 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 |
| 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 |
| 1033280631 | Rebecca Vestal | Dentist | 2105 E Center St, Suite D, Kingsport, TN 37664-2663 | 2006-11-13 |
| 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.