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Brennan Kane Humphreys
Pediatric Dentist in Kingsport, Tennessee
NPI 1144758574

Brennan Kane Humphreys is a Pediatric Dentist based in Kingsport, TN and is specialized in Pediatric Dentistry. Brennan Kane Humphreys practices in Kingsport, TN. The NPI Number for Brennan Kane Humphreys is 1144758574 and holds a License No. 10533 (Tennessee).

The current practice location address for Brennan Kane Humphreys is 613 Watauga St, Kingsport, TN and can be reached out via phone at 423-707-2999.

Location: 613 Watauga St, Kingsport, TN, 37660-4429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144758574
Provider Name
Brennan Kane Humphreys
Credential
Provider Entity Type
Individual
Gender
Female
Address
613 Watauga St, Kingsport, TN, 37660-4429
Phone Number
423-707-2999
Fax Number
Provider Enumeration Date
05/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
613 Watauga St
City
Kingsport
State
Tennessee
Zip
37660-4429
Phone Number
423-707-2999
Fax Number
person
Provider Business Mailing Address Details
Address
613 Watauga St
City
Kingsport
State
Tennessee
Zip
37660-4429
Phone Number
423-707-2999
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
10533 (Tennessee)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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