| Mark S. Cowart, D.d.s. Inc | |
|
4355 Highway 58 Ste 103a Chattanooga TN 37416-2941 | |
| (423) 894-5258 | |
| (423) 892-7781 |
| Full Name | Mark S. Cowart, D.d.s. Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4355 Highway 58 Ste 103a, Chattanooga, Tennessee |
| Authorized Official Name and Position | Liz Kramlich (FRONT DESK) |
| Authorized Official Contact | 4238945258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S. Cowart, D.d.s. Inc 4355 Highway 58 Ste 103a Chattanooga TN 37416-2941 Ph: (423) 894-5258 | Mark S. Cowart, D.d.s. Inc 4355 Highway 58 Ste 103a Chattanooga TN 37416-2941 Ph: (423) 894-5258 |
| NPI Number | 1497168579 |
|---|---|
| Provider Enumeration Date | 06/06/2014 |
| Last Update Date | 06/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497168579 | NPI | - | NPPES |
| Q003549 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4766 (Tennessee) | Primary |
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