| Pediatric Dentistry Of Cleveland, Llc | |
|
430 Stuart Rd Ne Suite 1 Cleveland TN 37312-4918 | |
| (423) 476-2160 | |
| (423) 476-2680 |
| Full Name | Pediatric Dentistry Of Cleveland, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 430 Stuart Rd Ne, Cleveland, Tennessee |
| Authorized Official Name and Position | Chad S Eslinger (DENTIST) |
| Authorized Official Contact | 4234762160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Cleveland, Llc 150 Stuart Xing Ne Cleveland TN 37312-4065 Ph: (423) 476-2160 | Pediatric Dentistry Of Cleveland, Llc 430 Stuart Rd Ne Suite 1 Cleveland TN 37312-4918 Ph: (423) 476-2160 |
| NPI Number | 1770695355 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 03/31/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770695355 | NPI | - | NPPES |
| 3206748 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 7763 (Tennessee) | Primary |
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