Southeastern Dental Associates Of Soddy Daisy in Soddy Daisy - Dentist
Southeastern Dental Associates Of Soddy Daisy - NPI 1790821148
Southeastern Dental Associates Of Soddy Daisy is a Dentist in Soddy Daisy, Tennessee. Southeastern Dental Associates Of Soddy Daisy practices all healthcare services and medical treatments related to Dentist. The NPI Number for Southeastern Dental Associates Of Soddy Daisy is 1790821148. The last update date is 2013-04-16.
Southeastern Dental Associates Of Soddy Daisy's current location address is 124 Harrison Ln, Soddy Daisy, Tennessee. You can contact this provider via phone number 4233320500 and fax number 4233320920. The mailing address for Southeastern Dental Associates Of Soddy Daisy is 124 Harrison Ln, Soddy Daisy, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Dental Associates Of Soddy Daisy |
|---|---|
| Address | 124 Harrison Ln, Soddy Daisy, Tennessee |
| Phone Number | 4233320500 |
| Fax Number | 4233320920 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bowman Eugene Nicholas |
| Credentials | D.M.D. |
| Telephone Number | 4233320500 |
NPI Number Detail
| NPI Number | 1790821148 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2013-04-16 |
Provider Mailing Address Detail
| Address | 124 Harrison Ln |
|---|---|
| City | Soddy Daisy |
| State | Tennessee (TN) |
| Post Code | 373794831 |
| Phone Number | 4233320500 |
| Fax Number | 4233320920 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 8527 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Southeastern Dental Associates Of Soddy Daisy by the Centers for Medicare & Medicaid Services?
The Southeastern Dental Associates Of Soddy Daisy has been assigned the NPI (National Provider Identifier) 1790821148 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Southeastern Dental Associates Of Soddy Daisy?
The Southeastern Dental Associates Of Soddy Daisy is situated at 124 Harrison Ln, in the city of Soddy Daisy, state of TN, with the zip code 373794831.
What is Southeastern Dental Associates Of Soddy Daisy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Southeastern Dental Associates Of Soddy Daisy's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When did Southeastern Dental Associates Of Soddy Daisy receive its 1790821148 assignment?
The Southeastern Dental Associates Of Soddy Daisy was assigned its 1790821148 on 2007-01-30, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Southeastern Dental Associates Of Soddy Daisy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Southeastern Dental Associates Of Soddy Daisy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-04-16.
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