Provider Demographics
NPI:1811168354
Name:KINARD, JOHN PATRICK (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PATRICK
Last Name:KINARD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 S CHURCH ST
Mailing Address - Street 2:SUITE B200
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-4988
Mailing Address - Country:US
Mailing Address - Phone:615-896-7009
Mailing Address - Fax:615-896-7124
Practice Address - Street 1:925 S CHURCH ST
Practice Address - Street 2:SUITE B200
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-4988
Practice Address - Country:US
Practice Address - Phone:615-896-7009
Practice Address - Fax:615-896-7124
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0000007171122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist