DR. LARRY D LUETHKE DDS
NPI 1972504371
Dentist - Oral and Maxillofacial Surgery in Kingsport, TN
About Dr. Larry D Luethke Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LARRY D LUETHKE DDS (NPI 1972504371) is an individual oral and maxillofacial surgery provider in Kingsport, Tennessee, licensed in Tennessee (DS5001) and active in the NPI registry since August 2005.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KINGSPORT, TN 37660
KINGSPORT, TN 37660
KINGSPORT, TN 37660
KINGSPORT, TN 37660
KINGSPORT, TN 37660
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 Larry Luethke's NPI number?
The NPI number for Larry Luethke is 1972504371. It was assigned to this individual provider in the NPPES registry on August 9, 2005.
Where is Larry Luethke located?
Larry Luethke practices at 117 W Sevier Ave Suite 220, Kingsport, TN 37660. The listed phone number is (423) 224-3200.
What is Larry Luethke's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
When was this NPI record last updated?
The NPPES record for Larry Luethke was last updated on January 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Larry D Luethke, DDS · NPI 1972504371
Oral and Maxillofacial Surgery provider in Kingsport, Tennessee. Individual provider, active in the CMS NPPES registry since August 9, 2005.
## Identity
- **NPI:** 1972504371 (Entity type: Individual)
- **Enumerated:** August 9, 2005
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** DS5001 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 117 W SEVIER AVE, SUITE 220, Kingsport, TN 37660-3799
- **Phone:** (423) 224-3200
## Record status
- **NPPES last updated:** January 10, 2008
- **Other identifiers:** Medicare PIN 3225705 (TN); Other 3726194 (TN); Medicare UPIN U27627 (TN); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1972504371) · Data from the CMS NPPES public registry.