| St Elmo Dental Llc | |
|
3918 Tennessee Ave Ste 300 Chattanooga TN 37409-1352 | |
| (423) 821-7711 | |
| Not Available |
| Full Name | St Elmo Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3918 Tennessee Ave Ste 300, Chattanooga, Tennessee |
| Authorized Official Name and Position | Taylor Lawson (OFFICE MANAGER) |
| Authorized Official Contact | 4238219771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Elmo Dental Llc 3918 Tennessee Ave Ste 300 Chattanooga TN 37409-1352 Ph: (423) 821-7711 | St Elmo Dental Llc 3918 Tennessee Ave Ste 300 Chattanooga TN 37409-1352 Ph: (423) 821-7711 |
| NPI Number | 1003682873 |
|---|---|
| Provider Enumeration Date | 12/01/2023 |
| Last Update Date | 12/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003682873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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