EWING JACKSON THREET DMD NPI 1164954582

NPI Information

  • NPI: 1164954582
  • Provider Name: EWING JACKSON THREET, DMD
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Individual
  • Address: 7333 SHALLOWFORD RD
    CHATTANOOGA, TN
    ZIP 37421
  • Phone: (276) 632-2634

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NPI Details

Ewing Jackson Threet, DMD 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. Ewing Jackson Threet, DMD NPI is 1164954582. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7333 SHALLOWFORD RD
CHATTANOOGA, TN
ZIP 37421-627
Phone: (276) 632-2634

The enumeration date for this NPI number is 4/3/2017 and was last updated on 7/31/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist0401417624VIRGINIANo
2125Q00000XOral Medicine0401417624VIRGINIANo
31223E0200XDentistEndodontics10932TENNESSEEYes

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: 11/21/2025

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