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ENDODONTIC GROUP PC NPI 1023131364


NPI Information

NPI: 1023131364
Provider Name: ENDODONTIC GROUP PC
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

CLIA Number: 44D2155646

Address:
1001 CARTER ST
SUITE H
CHATTANOOGA, TN
ZIP 37402
Phone: (423) 267-1853
Get Directions

ENDODONTIC GROUP PC is an endodontics dentist in Chattanooga, TN. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. ENDODONTIC GROUP PC NPI is 1023131364. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1001 CARTER ST
SUITE H
CHATTANOOGA, TN
ZIP 37402-014
Phone: (423) 267-1853

The provider's authorized official is Kevin P Bryant .
The authorized official title is President and has the following contact phone number (423) 267-1853.

The CLIA number assigned to this NPI record is 44D2155646 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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