Collegedale Family Dentistry P.C.

LBN: Collegedale Family Dentistry P.C.
Collegedale Family Dentistry P.C. is an health care organization with primary practice located at 9325 Apison Pike Ste 119 , Ooltewah TN 37363-3802. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Collegedale Family Dentistry P.C. can be contacted via phone (423) 396-4222, or through Peterson, David via phone (423) 396-4222.

Contact Information

Primary practice address
9325 Apison Pike Ste 119 Ooltewah TN 37363-3802
Phone: (423) 396-4222
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, David Doctor of Dental Surgery (DDS)
Phone: (423) 396-4222

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1881271161
LBN Legal business name Collegedale Family Dentistry P.C.
DBA Doing business as
Authorized official Peterson, David Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2021
Last updated Mar 24th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881271161 NPPES
Tennessee Other 11462 DENTIST

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