Provider Demographics
NPI:1699884817
Name:WILLIAM B HUTCHINS JR DDS PC
Entity type:Organization
Organization Name:WILLIAM B HUTCHINS JR DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:B
Authorized Official - Last Name:HUTCHINS JR
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS PC
Authorized Official - Phone:423-245-3241
Mailing Address - Street 1:202 E CHARLEMONT AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-4306
Mailing Address - Country:US
Mailing Address - Phone:423-245-3241
Mailing Address - Fax:
Practice Address - Street 1:202 E CHARLEMONT AVE
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-4306
Practice Address - Country:US
Practice Address - Phone:423-245-3241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS002134122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty