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KIDS DENTAL CENTER, GP
NPI 1932789880
Dentist - General Practice in Cleveland, TN

Active since April 13, 2021
1805 KEITH ST NW, CLEVELAND, TN 37311(423) 458-4147(423) 458-4148 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 29, 2026, Apr 13, 2021 (2 updates tracked since 2021).

About Kids Dental Center, Gp NPPES

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

KIDS DENTAL CENTER, GP (NPI 1932789880) is a healthcare organization registered as a general practice in Cleveland, Tennessee and active in the NPI registry since April 2021. The organization lists Blain Reynolds, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1932789880
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKIDS DENTAL CENTER, GP
Location Address1805 KEITH ST NWCleveland, TN 37311-4306
Mailing Address1805 Keith St NwCleveland, TN 37311-4306 · (423) 458-4147 · Fax (423) 458-4148
Phone(423) 458-4147
Fax(423) 458-4148
Organization SubpartNo
Authorized OfficialBlain ReynoldsOwner/dentist · (423) 458-4147
Enumeration DateApril 13, 2021
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1932789880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1805 KEITH ST NW, Cleveland, TN 37311
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest Insurance Company Inc- TN.Insurance ›

Other Providers at the Same Location NPPES

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

CORTNEY RADULESCU
Dentist (General Practice)
1805 KEITH ST NW
CLEVELAND, TN 37311
Bradley County (423) 458-4147

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 Kids Dental Center, Gp's NPI number?

The NPI number for Kids Dental Center, Gp is 1932789880. It was assigned to this organization in the NPPES registry on April 13, 2021.

Where is Kids Dental Center, Gp located?

Kids Dental Center, Gp is located at 1805 Keith St NW, Cleveland, TN 37311. The listed phone number is (423) 458-4147.

What is Kids Dental Center, Gp's specialty?

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

What insurance does Kids Dental Center, Gp accept?

Health plans from DentaQuest Insurance Company Inc- TN list Kids Dental Center, Gp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kids Dental Center, Gp was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.