OrganizationActive
Cumberland Gap Orthodontics
NPI 1669459251 · Orthodontics and Dentofacial Orthopedics Dentistry · Harrogate, TN
Provider details
- NPI number
- 1669459251
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jesse Douglass, Ceo and President(423) 869-5719
Specialties & taxonomies
Dental Providers
Practice location
119 Westmoreland St
Harrogate, TN 37752-8202
Phone: (423) 869-5719
Fax: (423) 869-5749
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 15
Harrogate, TN 37752-0015
Registry dates
- Enumerated
- 2005-12-27
- Last updated
- 2008-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.