| Scenic City Orthodontics Pc | |
|
7003 Shallowford Rd Chattanooga TN 37421-6722 | |
| (423) 855-4201 | |
| (423) 855-4203 |
| Full Name | Scenic City Orthodontics Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 7003 Shallowford Rd, Chattanooga, Tennessee |
| Authorized Official Name and Position | Tyler Prentice (PRESIDENT) |
| Authorized Official Contact | 4238554201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scenic City Orthodontics Pc 7003 Shallowford Rd Chattanooga TN 37421-6722 Ph: (423) 855-4201 | Scenic City Orthodontics Pc 7003 Shallowford Rd Chattanooga TN 37421-6722 Ph: (423) 855-4201 |
| NPI Number | 1356657852 |
|---|---|
| Provider Enumeration Date | 08/23/2010 |
| Last Update Date | 08/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356657852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 9065 (Tennessee) | Primary |
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