East Brainerd Oral Surgery
LBN: Childress & Meyer, Pllc
East Brainerd Oral Surgery is an health care organization with primary practice located at 1350 Mackey Branch Drive St. 110, Chattanooga TN 37421-3482. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Childress & Meyer, Pllc can be contacted via phone (423) 296-8210, or through Brown, Jennifer Lynn via phone (423) 296-8210.
Contact Information
Primary practice address
1350 Mackey Branch Drive St. 110
Chattanooga TN 37421-3482
Phone: (423) 296-8210
Fax: (423) 296-8292
Website:
Authorized official contact:
Name: Brown, Jennifer Lynn Registered Dental Assistant (RDA)
Phone: (423) 296-8210
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | Tennessee |
Profile Details
| NPI number | 1851691281 |
|---|---|
| LBN Legal business name | Childress & Meyer, Pllc |
| DBA Doing business as | East Brainerd Oral Surgery |
| Authorized official | Brown, Jennifer Lynn Registered Dental Assistant (RDA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 2nd, 2010 |
| Last updated | Sep 30th, 2013 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851691281 | NPPES |
| Tennessee | MEDICAID | 1521422 |
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