Cedar Valley Dental Arts, Pllc | |
4957 Swinyar Dr Ste 107 Ooltewah TN 37363-2205 | |
(423) 396-3154 | |
Not Available |
Full Name | Cedar Valley Dental Arts, Pllc |
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Speciality | Clinic/center - Dental |
Location | 4957 Swinyar Dr Ste 107, Ooltewah, Tennessee |
Authorized Official Name and Position | Jeremiah Wilson Holt (PRESIDENT) |
Authorized Official Contact | 8287720569 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cedar Valley Dental Arts, Pllc 5135 Silver Ln Apison TN 37302-9594 Ph: (828) 772-0569 | Cedar Valley Dental Arts, Pllc 4957 Swinyar Dr Ste 107 Ooltewah TN 37363-2205 Ph: (423) 396-3154 |
NPI Number | 1740046234 |
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Provider Enumeration Date | 02/22/2024 |
Last Update Date | 02/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740046234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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