Individual provider · Type 1 NPI

Larry D. Luethke, DDS

Oral and Maxillofacial Surgery (Dentist) · Kingsport, TN

NPI number 1972504371 Active

Practice location

117 W Sevier Ave, Suite 220
Kingsport, TN 37660-3799

Call (423) 224-3200 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS5001 (TN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1972504371

Larry D. Luethke, DDS's National Provider Identifier is 1972504371, issued on Aug 9, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Kingsport, TN. The record was last updated on Jan 10, 2008.