Individual provider · Type 1 NPI

Matthew Blake Kickliter, D.D.S

General Practice Dentistry · Morristown, TN

NPI number 1821343518 Active

About NPI 1821343518

Matthew Blake Kickliter, D.D.S's National Provider Identifier is 1821343518, issued on Jul 18, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Morristown, TN. The record was last updated on Jul 18, 2012.