| East Tn Facial Surgery, Inc | |
|
625 Morrison Springs Rd Chattanooga TN 37415-3401 | |
| (423) 855-5550 | |
| (423) 899-9182 |
| Full Name | East Tn Facial Surgery, Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 625 Morrison Springs Rd, Chattanooga, Tennessee |
| Authorized Official Name and Position | Thomas R Cook (ORAL & MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 4238555550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Tn Facial Surgery, Inc 625 Morrison Springs Rd Chattanooga TN 37415-3401 Ph: (423) 855-5550 | East Tn Facial Surgery, Inc 625 Morrison Springs Rd Chattanooga TN 37415-3401 Ph: (423) 855-5550 |
| NPI Number | 1679543912 |
|---|---|
| Provider Enumeration Date | 01/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679543912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS0000004615 (Tennessee) | Primary |
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