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KINGSTON DENTAL LLC
NPI 1083860498
Dentist - General Practice in Kingston, TN

Active since August 18, 2008
1212 N KENTUCKY ST, KINGSTON, TN 37763(865) 717-3586(865) 717-3581 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kingston Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINGSTON DENTAL LLC (NPI 1083860498) is a healthcare organization registered as a general practice in Kingston, Tennessee and active in the NPI registry since August 2008. The organization lists Evon Elizabeth Hulse, Board Member, as its authorized official.

NPPES Registry Identity

NPI1083860498
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKINGSTON DENTAL LLC
Location Address1212 N KENTUCKY STKingston, TN 37763-2328
Mailing Address1203 Old N Kentucky StKingston, TN 37763-2358 · (865) 717-3586 · Fax (865) 717-3581
Phone(865) 717-3586
Fax(865) 717-3581
Organization SubpartNo
Authorized OfficialEvon Elizabeth HulseBoard Member · (865) 640-5283
Enumeration DateAugust 18, 2008
Last NPPES UpdateOctober 2, 2012
✔ NPI 1083860498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TN · 8110
Definition
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.
1212 N KENTUCKY ST, Kingston, TN 37763
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Other Identifiers 1

Medicaid1515194TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EVON ELIZABETH HULSE DDS
Dentist (General Practice)
1212 N KENTUCKY ST
KINGSTON, TN 37763
Roane County (865) 717-3586
KDP PLLC
Dentist (General Practice)
1212 N KENTUCKY ST
KINGSTON, TN 37763
Roane County (865) 717-3586
DR. RUSSELL ARBREY HULSE DDS
Dentist (General Practice)
1212 N KENTUCKY ST
KINGSTON, TN 37763
Roane County (865) 717-3586
DR. TRENT EVERETT STANSBURY D.D.S
Dentist
1212 N KENTUCKY ST, KINGSTON DENTAL LLC
KINGSTON, TN 37763
Roane County (865) 717-3586
NWALOSHIN DENTAL PLLC
Dentist (General Practice)
1212 N KENTUCKY ST
KINGSTON, TN 37763
Roane County (865) 717-3586
RAJIV BERY DMD
Dentist
1212 N KENTUCKY ST
KINGSTON, TN 37763
Roane County (865) 717-3586

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kingston Dental LLC's NPI number?

The NPI number for Kingston Dental LLC is 1083860498. It was assigned to this organization in the NPPES registry on August 18, 2008.

Where is Kingston Dental LLC located?

Kingston Dental LLC is located at 1212 N Kentucky St, Kingston, TN 37763. The listed phone number is (865) 717-3586.

What is Kingston Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kingston Dental LLC was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.