LARRY GILLENWATER, DDS

Dentist

Active Individual
NPI: 1861417651

Practice Address

1335 E CENTER ST
Kingsport, TN 37664

Phone: (423) 247-5125

Specialties

Specialty Code Primary License
Dentist 122300000X Yes DS0000002549 (TN)

Frequently Asked Questions

NPI 1861417651 is the National Provider Identifier for LARRY GILLENWATER, DDS, a Dentist provider located in Kingsport, TN. This NPI was enumerated on July 13, 2006.
LARRY GILLENWATER, DDS practices at 1335 E CENTER ST, Kingsport, TN 37664.

Quick Facts

NPI
1861417651
Type
Individual
Enumerated
Jul 13, 2006
Last Updated
Jul 8, 2007

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