Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY BISHOP DIMINICK, DDS
ActiveDR. BRADLEY BISHOP DIMINICK, DDS is a General Dentistry healthcare provider located in KINGSPORT, Tennessee. NPI 1417516733 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · KINGSPORT, TN
Registration Details
- NPI Number
- 1417516733
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2019 (7.1832781455132 yrs)
- Last Updated
- Jun 10, 2019
- License
-
11078 (TN)
Practice Information
- Address
-
2975 FORT HENRY DR STE AKINGSPORT, TN, 376644005Browse TN providers · Browse ZIP 37664
- Phone
- 4232479196
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in KINGSPORT, TN
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN RALPH ROYAL | DDS | 1477551562 |
| DR. JOHN ALAN SMITH | D.D.S.,P.C. | 1003897281 |
| DR. RANDALL CLINE MONTGOMERY | DDS | 1255316154 |
| RICHARD LLOYD STREETER | D.D.S. | 1881633139 |
| DR. KENNETH MICHAEL LAMB | D.D.S. | 1548277965 |
| DR. SCOTT ALLEN WALTERS | D.D.S. | 1144230574 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.