Healthcare Provider Details

I. General information

NPI: 1518005651
Provider Name (Legal Business Name): DAVID HART KEMP D.D.S., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 ROYAL OAKS COURT
FRANKLIN TN
37064
US

IV. Provider business mailing address

4557 PEYTONSVILLE RD
FRANKLIN TN
37064-7608
US

V. Phone/Fax

Practice location:
  • Phone: 615-790-7027
  • Fax: 615-790-6137
Mailing address:
  • Phone: 615-790-3008
  • Fax: 615-790-3008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDS004347
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: