Brogdon Dental Pc | |
3920 Dayton Blvd Chattanooga TN 37415-2716 | |
(423) 870-5698 | |
Not Available |
Full Name | Brogdon Dental Pc |
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Speciality | Dentist |
Location | 3920 Dayton Blvd, Chattanooga, Tennessee |
Authorized Official Name and Position | Joseph Brogdon (DENTIST) |
Authorized Official Contact | 4238705698 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brogdon Dental Pc 3920 Dayton Blvd Chattanooga TN 37415-2716 Ph: (423) 870-5698 | Brogdon Dental Pc 3920 Dayton Blvd Chattanooga TN 37415-2716 Ph: (423) 870-5698 |
NPI Number | 1962811653 |
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Provider Enumeration Date | 08/06/2014 |
Last Update Date | 08/06/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962811653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4202 (Tennessee) | Primary |
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