Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kids Dental Center, Gp

Organization General Practice Dentistry · NPI 1932789880

Kids Dental Center, Gp provides General Practice Dentistry in Cleveland, Tennessee. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1805 Keith St NW
Cleveland, TN 37311-4306
Phone: (423) 458-4147
Fax: (423) 458-4148
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1932789880
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Blain Reynolds — Owner/Dentist · (423) 458-4147
NPI enumeratedApril 13, 2021
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address1805 Keith St Nw, Cleveland, TN 37311-4306

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