Kickliter, Matthew Blake
Kickliter, Matthew Blake is an individual health care provider with primary practice located at 1950 W Morris Blvd , Morristown TN 37814-3764. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kickliter, Matthew Blake can be contacted via phone (423) 586-8144.Contact Information
Primary practice address
1950 W Morris Blvd
Morristown TN 37814-3764
Phone: (423) 586-8144
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 9493 | Tennessee |
Profile Details
| NPI number | 1821343518 |
|---|---|
| LBN Legal business name | Kickliter, Matthew Blake |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2012 |
| Last updated | Jul 18th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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