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EAST BRAINERD FAMILY DENTISTRY PLLC NPI 1033386313


NPI Information

NPI: 1033386313
Provider Name: EAST BRAINERD FAMILY DENTISTRY PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8190 E BRAINERD RD
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 892-8169
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EAST BRAINERD FAMILY DENTISTRY PLLC is a general practice dentist in Chattanooga, TN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. EAST BRAINERD FAMILY DENTISTRY PLLC NPI is 1033386313. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8190 E BRAINERD RD
CHATTANOOGA, TN
ZIP 37421-301
Phone: (423) 892-8169

The provider's authorized official is Charles Mcdowell Hooper .
The authorized official title is Co Owner and has the following contact phone number (423) 892-8169.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 1/21/2014.


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
11223G0001XDentistGeneral Practice8262TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16951150001OTHERTENNESSEEMEDICARE DMEPOS

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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