KDP PLLC

General Practice Dentistry · Kingston, TN

Organization Active NPI

NPI number 1699331421

Practice location

1212 N Kentucky St
Kingston, TN 37763-2328
Phone
(865) 717-3586

Open in Google Maps

NPI record

NPI
1699331421
Entity type
Organization (Type 2)
Enumeration date
May 16, 2019
Last updated
May 16, 2019
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Mailing address

11600 Lanesborough Way Apt 116
Farragut, TN 37934-1691

Authorized official

Name
Rajiv Bery, DMD
Title
Dentist
Phone
(803) 464-4448

About KDP PLLC

KDP PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1212 N Kentucky St, Kingston, TN 37763-2328. The NPI number 1699331421 was assigned on May 16, 2019 and the record was last updated on May 16, 2019.

The authorized official for this organization is Rajiv Bery, DMD, Dentist.

Frequently asked questions

What is the NPI number of KDP PLLC?

The NPI number is 1699331421.

What is the phone number of KDP PLLC?

The phone number listed for the practice location is (865) 717-3586.

Where is KDP PLLC located?

1212 N Kentucky St, Kingston, TN 37763-2328.

What is the taxonomy code for KDP PLLC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Kingston

All General Practice Dentistry providers in Kingston, TN →