Kizer, David Thomas

Kizer, David Thomas is an individual health care provider with primary practice located at 7685 Wolf River Cir Suite #102, Germantown TN 38138-1749. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kizer, David Thomas can be contacted via phone (901) 767-4882.

Contact Information

Primary practice address
7685 Wolf River Cir Suite #102 Germantown TN 38138-1749
Phone: (901) 767-4882
Fax: (901) 767-8641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS05364 Tennessee

Profile Details

NPI number 1851374375
LBN Legal business name Kizer, David Thomas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Jul 8th, 2007 - about 19 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 1851374375 NPPES
Tennessee Other 0159958 BLUE CROSS BLUE SHIELD
Tennessee Other 838733 BLUE CROSS BLUE SHIELD

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