Southeastern Endodontics in Chattanooga - Endodontics
Southeastern Endodontics - NPI 1194885376
Southeastern Endodontics is a Endodontics in Chattanooga, Tennessee. Southeastern Endodontics practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Southeastern Endodontics is 1194885376. The last update date is 2020-08-22.
Southeastern Endodontics's current location address is 2030 Hamilton Place Blvd, Chattanooga, Tennessee. You can contact this provider via phone number 4238924727 and fax number 4238997992. The mailing address for Southeastern Endodontics is 2030 Hamilton Place Blvd, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Southeastern Endodontics |
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Address | 2030 Hamilton Place Blvd, Chattanooga, Tennessee |
Phone Number | 4238924727 |
Fax Number | 4238997992 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Brock Matthew |
Credentials | DDS MSD |
Telephone Number | 4238924727 |
NPI Number Detail
NPI Number | 1194885376 |
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Provider Enumeration Date | 2006-12-11 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 2030 Hamilton Place Blvd |
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City | Chattanooga |
State | Tennessee (TN) |
Post Code | 374216038 |
Phone Number | 4238924727 |
Fax Number | 4238997992 |
Provider's Primary Taxonomy Detail
Speciality | Endodontics |
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Taxonomy | 1223E0200X |
Definition: 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 eti |
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What is the unique 10-digit identifier code assigned to Southeastern Endodontics by the Centers for Medicare & Medicaid Services?
The Southeastern Endodontics has been issued the NPI (National Provider Identifier) 1194885376 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Southeastern Endodontics is physically located?
The Southeastern Endodontics is situated at the following address: 2030 Hamilton Place Blvd, Chattanooga, TN 374216038.
What is Southeastern Endodontics's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Southeastern Endodontics is Endodontics, and the taxonomy code that classifies this field of practice is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194885376 to Southeastern Endodontics?
The Centers for Medicare & Medicaid Services originally issued the 1194885376 to Southeastern Endodontics on 2006-12-11.
As of what date were the details related to Southeastern Endodontics most recently updated or revised?
The information pertaining to Southeastern Endodontics, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.