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Search › Tennessee › 122300000X

Larry Gillenwater, DDS

NPI 1861417651 · on the registry since 2006

Practice

Address
1335 E Center St
Kingsport, TN 37664
Phone
(423) 247-5125
Fax
(423) 246-2564
Organisation at this address
Phillip Marshall Dds Pc
Summit Medical Group Pllc
Horizon Family Medicine Pllc
Halliburton Orthodontics,P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee