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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JENNI MARIE O'MALLEY, D.M.D

Active Sole Proprietor

DR. JENNI MARIE O'MALLEY, D.M.D is a Dentist healthcare provider located in KINGSPORT, Tennessee. NPI 1609144997 is currently active in the NPPES registry. Verify at CMS.

Dentist · KINGSPORT, TN

Registration Details

NPI Number
1609144997
Provider Type
Individual
Gender
Female
NPI Issued
Dec 1, 2011 (14.702121232853 yrs)
Last Updated
Oct 27, 2021
Licenses
27456 (TX)
11246 (TN)
21809 (FL)
27456 (TX)
8896 (SC)
Sole Proprietor
Yes

Practice Information

Address
1105 W STONE DR STE 5
KINGSPORT, TN, 376602558
Browse TN providers · Browse ZIP 37660
Phone
4232245697
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
Additional Specialty
Dentist
Additional Specialty
General Dentistry
Additional Specialty
Dentist

Other Dentist Providers in KINGSPORT, TN

Name Credential NPI
LARRY HEATH GILLENWATER DDS 1861417651
DR. JAMES LARRY BREWER DDS 1154439271
MR. JON ATHERTON MATHER DDS 1861595068
DR. JAMES ALEXANDER STAKIAS DDS 1407959901
DR. KATHY SELLERS SANDERS D.M.D. 1285726356
DR. BRIAN ELLIOTT HIMELWRIGHT DDS 1548332679
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.