| Collegedale Family Dentistry P.c. | |
|
9325 Apison Pike Ste 119 Ooltewah TN 37363-3802 | |
| (423) 396-4222 | |
| Not Available |
| Full Name | Collegedale Family Dentistry P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9325 Apison Pike Ste 119, Ooltewah, Tennessee |
| Authorized Official Name and Position | David Peterson (OWNER DENTIST) |
| Authorized Official Contact | 4233964222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collegedale Family Dentistry P.c. 9325 Apison Pike Ste 119 Ooltewah TN 37363-3802 Ph: (423) 396-4222 | Collegedale Family Dentistry P.c. 9325 Apison Pike Ste 119 Ooltewah TN 37363-3802 Ph: (423) 396-4222 |
| NPI Number | 1881271161 |
|---|---|
| Provider Enumeration Date | 03/24/2021 |
| Last Update Date | 03/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881271161 | NPI | - | NPPES |
| 11462 | Other | TN | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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