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CHATTANOOGA ORAL & MAXILLOFACIAL SURGERY PLC NPI 1124295480


NPI Information

NPI: 1124295480
Provider Name: CHATTANOOGA ORAL & MAXILLOFACIAL SURGERY, PLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1720 GUNBARREL RD
SUITE 200
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 296-8905
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CHATTANOOGA ORAL & MAXILLOFACIAL SURGERY, PLC is an oral and maxillofacial surgery dentist in Chattanooga, TN. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. CHATTANOOGA ORAL & MAXILLOFACIAL SURGERY, PLC NPI is 1124295480. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1720 GUNBARREL RD
SUITE 200
CHATTANOOGA, TN
ZIP 37421-192
Phone: (423) 296-8905
Fax: (423) 296-8906

The provider's authorized official is David P Mcdonald .
The authorized official title is Preident/oral Surgeon and has the following contact phone number (423) 296-8905.

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


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
11223S0112XDentistOral and Maxillofacial Surgery7277TENNESSEEYes

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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