| Chattanooga Dental Care | |
|
6102 Shallowford Rd Ste 101 Chattanooga TN 37421-1684 | |
| (423) 499-9300 | |
| (423) 499-9746 |
| Full Name | Chattanooga Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6102 Shallowford Rd Ste 101, Chattanooga, Tennessee |
| Authorized Official Name and Position | Ty V. Justice (DIRECTOR, CREDENTIALING) |
| Authorized Official Contact | 5136094076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chattanooga Dental Care 9825 Kenwood Rd Ste 200 Blue Ash OH 45242-6252 Ph: (513) 609-4076 | Chattanooga Dental Care 6102 Shallowford Rd Ste 101 Chattanooga TN 37421-1684 Ph: (423) 499-9300 |
| NPI Number | 1740797208 |
|---|---|
| Provider Enumeration Date | 01/05/2018 |
| Last Update Date | 05/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740797208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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