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CHATTANOOGA PERIODONTICS & DENTAL IMPLANTS PC NPI 1063562460


NPI Information

NPI: 1063562460
Provider Name: CHATTANOOGA PERIODONTICS & DENTAL IMPLANTS, PC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
951 RIVERFRONT PKWY
STE 102
CHATTANOOGA, TN
ZIP 37402
Phone: (423) 756-2450
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CHATTANOOGA PERIODONTICS & DENTAL IMPLANTS, PC is a periodontics dentist in Chattanooga, TN. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. CHATTANOOGA PERIODONTICS & DENTAL IMPLANTS, PC NPI is 1063562460. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

951 RIVERFRONT PKWY
STE 102
CHATTANOOGA, TN
ZIP 37402-185
Phone: (423) 756-2450
Fax: (423) 756-5451

The provider's authorized official is Charles Baker Felts .
The authorized official title is President and has the following contact phone number (423) 756-2450.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 2/28/2017.


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
11223P0300XDentistPeriodonticsDS3107TENNESSEEYes
21223P0300XDentistPeriodonticsDS9462TENNESSEENo

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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