Dr. Leonard Ray Fuqua JR.
Orthodontists
505 N Kentucky St
Kingston
, Tennessee 37763-2630
Dr. Leonard Ray Fuqua JR.
Orthodontists
505 N Kentucky St
Kingston
, Tennessee 37763-2630
(865) 376-4441
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Leonard Ray Fuqua JR.
- 505 N Kentucky St
- Kingston, TN
- Zip : 37763-2630
- Fax : (865) 376-4441
- Phone : (865) 376-4445
Second Address
- Dr. Leonard Ray Fuqua JR.
- 505 N Kentucky St
- Kingston, TN
- Zip : 37763-2630
- Fax : (865) 376-4441
- Phone : (865) 376-4445
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FAQs
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Is Dr. Leonard Ray Fuqua JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | DS0000002917 | TN |
National Provider Identifier
| NPI | 1063493500 |
|---|---|
| Provider Name | Dr. Leonard Ray Fuqua JR. |
| First Address | Kingston, TN 37763-2630 |
| Second Address | Kingston, TN 37763-2630 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/11/2005 |
| Last Update Date | 05/07/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.