Provider Demographics
NPI:1518005651
Name:KEMP, DAVID HART (DDS, MS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:HART
Last Name:KEMP
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4557 PEYTONSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-7608
Mailing Address - Country:US
Mailing Address - Phone:615-790-3008
Mailing Address - Fax:615-790-3008
Practice Address - Street 1:500 ROYAL OAKS COURT
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064
Practice Address - Country:US
Practice Address - Phone:615-790-7027
Practice Address - Fax:615-790-6137
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0043471223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics