| Pediatric Dentistry And Orthodontics Of Chattanooga | |
|
4610 Brainerd Road Suite 3 Chattanooga TN 37411 | |
| (423) 622-4173 | |
| (423) 629-9889 |
| Full Name | Pediatric Dentistry And Orthodontics Of Chattanooga |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4610 Brainerd Road, Chattanooga, Tennessee |
| Authorized Official Name and Position | Kenneth Cooper Dyer (CO-OWNER/ORTHODONTIST) |
| Authorized Official Contact | 4236224173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry And Orthodontics Of Chattanooga 4610 Brainerd Road Suite 3 Chattanooga TN 37411 Ph: (423) 622-4173 | Pediatric Dentistry And Orthodontics Of Chattanooga 4610 Brainerd Road Suite 3 Chattanooga TN 37411 Ph: (423) 622-4173 |
| NPI Number | 1710442074 |
|---|---|
| Provider Enumeration Date | 01/31/2019 |
| Last Update Date | 01/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710442074 | NPI | - | NPPES |
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