DR. Matthew Blake Kickliter, D.D.S
NPI #1821343518 in Morristown, Tennessee
Provider Information
- NPI Number
- 1821343518
- Entity Type
- Individual
- Name
- DR. Matthew Blake Kickliter, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S
- Enumeration Date
- Jul 18, 2012
- Last Updated
- Jul 18, 2012
Practice Location
- Address
- 1950 W MORRIS BLVD
- City
- Morristown
- State
- Tennessee
- ZIP Code
- 37814-3764
- Phone
- (423) 586-8144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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