| Southeastern Endodontics | |
|
2030 Hamilton Place Blvd Ste. 380 Chattanooga TN 37421-6038 | |
| (423) 892-4727 | |
| (423) 899-7992 |
| Full Name | Southeastern Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2030 Hamilton Place Blvd, Chattanooga, Tennessee |
| Authorized Official Name and Position | Matthew Brock (PRESIDENT) |
| Authorized Official Contact | 4238924727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Endodontics 2030 Hamilton Place Blvd Ste. 380 Chattanooga TN 37421-6038 Ph: (423) 892-4727 | Southeastern Endodontics 2030 Hamilton Place Blvd Ste. 380 Chattanooga TN 37421-6038 Ph: (423) 892-4727 |
| NPI Number | 1194885376 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194885376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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