| Chattanooga Periodontics & Dental Implants, Pc | |
|
951 Riverfront Pkwy Ste 102 Chattanooga TN 37402-2185 | |
| (423) 756-2450 | |
| (423) 756-5451 |
| Full Name | Chattanooga Periodontics & Dental Implants, Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 951 Riverfront Pkwy, Chattanooga, Tennessee |
| Authorized Official Name and Position | Charles Baker Felts (PRESIDENT) |
| Authorized Official Contact | 4237562450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chattanooga Periodontics & Dental Implants, Pc 951 Riverfront Pkwy Ste 102 Chattanooga TN 37402-2185 Ph: (423) 756-2450 | Chattanooga Periodontics & Dental Implants, Pc 951 Riverfront Pkwy Ste 102 Chattanooga TN 37402-2185 Ph: (423) 756-2450 |
| NPI Number | 1063562460 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 02/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063562460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DS3107 (Tennessee) | Primary |
| 1223P0300X | Dentist - Periodontics | DS9462 (Tennessee) | Secondary |
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