Luethke, Larry D

Luethke, Larry D is an individual health care provider with primary practice located at 117 W Sevier Ave Suite 220, Kingsport TN 37660-3799. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Luethke, Larry D can be contacted via phone (423) 224-3200.

Contact Information

Primary practice address
117 W Sevier Ave Suite 220 Kingsport TN 37660-3799
Phone: (423) 224-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS5001 Tennessee

Profile Details

NPI number 1972504371
LBN Legal business name Luethke, Larry D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jan 10th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972504371 NPPES
Tennessee Other 1518969229 ORGANIZATION NPI
Tennessee Other 1609878388 ORGANIZATION NPI
Tennessee Other 3726194 ORGANIZATION NPI
Tennessee Other 1972504389 ORGANIZATION NPI

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