PEDIATRIC DENTISTRY AND ORTHODONTICS OF CHATTANOOGA NPI 1710442074

NPI Information

PEDIATRIC DENTISTRY AND ORTHODONTICS OF CHATTANOOGA is a pediatric dentistry dentist in Chattanooga, TN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PEDIATRIC DENTISTRY AND ORTHODONTICS OF CHATTANOOGA NPI is 1710442074. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4610 BRAINERD ROAD
SUITE 3
CHATTANOOGA, TN
ZIP 37411
Phone: (423) 622-4173
Fax: (423) 629-9889

The provider's authorized official is Kenneth Cooper Dyer .
The authorized official title is Co-owner/orthodontist and has the following contact phone number (423) 622-4173.

The enumeration date for this NPI number is 1/31/2019 and was last updated on 1/31/2019.

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:

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