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

Dr. Bradley Bishop Diminick, DDS

Individual provider General Practice Dentistry · NPI 1417516733

Dr. Bradley Bishop Diminick, DDS is a General Practice Dentistry in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2019.

Licensed in
TN
In the registry since
2019
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2975 Fort Henry Dr Ste A
Kingsport, TN 37664-4005
Phone: (423) 247-9196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 11078 (TN)

Record details

NPI number1417516733
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 10, 2019
Last updated in NPPESJune 10, 2019
Mailing address5642 John Gaines Blvd, Kingsport, TN 37664-6532

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