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Kim R Glick, DDS
General Practice Dentistry in Tullahoma, Tennessee
NPI 1992785711

Kim R Glick is a General Practice Dentistry based in Tullahoma, TN and is specialized in General Practice. Kim R Glick practices in Tullahoma, TN and has the professional credentials of DDS. The NPI Number for Kim R Glick is 1992785711 and holds a License No. DS0000004568 (Tennessee).

The current practice location address for Kim R Glick is 208 N Washington St, Tullahoma, TN and can be reached out via phone at 931-455-3917.

Location: 208 N Washington St, Tullahoma, TN, 37388-3649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992785711
Provider Name
Kim R Glick
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
208 N Washington St, Tullahoma, TN, 37388-3649
Phone Number
931-455-3917
Fax Number
Provider Enumeration Date
01/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0099288 01 TN BLUE CROSS BLUE SHIELD
3225332 05 TN
institution
Provider Business Practice Location Address Details
Address
208 N Washington St
City
Tullahoma
State
Tennessee
Zip
37388-3649
Phone Number
931-455-3917
Fax Number
person
Provider Business Mailing Address Details
Address
208 N Washington St
City
Tullahoma
State
Tennessee
Zip
37388-3649
Phone Number
931-455-3917
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DS0000004568 (Tennessee)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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