CHILDREN'S DENTISTRY OF CHATTANOOGA PLLC NPI 1770743601

NPI Information

CHILDREN'S DENTISTRY OF CHATTANOOGA, PLLC 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. CHILDREN'S DENTISTRY OF CHATTANOOGA, PLLC NPI is 1770743601. 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 310
CHATTANOOGA, TN
ZIP 37421-192
Phone: (423) 954-9511

The provider's authorized official is Clay Paul Goins .
The authorized official title is Pediatric Dentist/owner and has the following contact phone number (423) 954-9511.

The CLIA number assigned to this NPI record is 44D0310262 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/13/2008 and was last updated on 6/13/2008.

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:

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