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

DR. LARRY D LUETHKE, DDS

Active

DR. LARRY D LUETHKE, DDS is a Oral & Maxillofacial Surgery healthcare provider located in KINGSPORT, Tennessee. NPI 1972504371 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · KINGSPORT, TN

Registration Details

NPI Number
1972504371
Provider Type
Individual
Gender
Male
NPI Issued
Aug 9, 2005 (21.039776451489 yrs)
Last Updated
Jan 10, 2008
License
DS5001 (TN)

Practice Information

Address
117 W SEVIER AVE
SUITE 220
KINGSPORT, TN, 376603799
Browse TN providers · Browse ZIP 37660
Phone
4232243200
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in KINGSPORT, TN

Name Credential NPI
DR. JOHN R COLLINS DDS 1023019254
DR. LARRY ALAN BACON DDS 1295736304
DR. MICHAEL DAVID FOSTER DMD, MPH 1962474304
JASON D PICKUP DMD 1710120761
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.