| Facial Dental Center, P.c. | |
|
1720 Gunbarrel Rd Ste 310 Chattanooga TN 37421-3192 | |
| (423) 602-8642 | |
| Not Available |
| Full Name | Facial Dental Center, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 1720 Gunbarrel Rd Ste 310, Chattanooga, Tennessee |
| Authorized Official Name and Position | Jenny V. Nunez (PRESIDENT/DENTIST) |
| Authorized Official Contact | 4238272770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Facial Dental Center, P.c. 1720 Gunbarrel Rd Ste 310 Chattanooga TN 37421-3192 Ph: (423) 602-8642 | Facial Dental Center, P.c. 1720 Gunbarrel Rd Ste 310 Chattanooga TN 37421-3192 Ph: (423) 602-8642 |
| NPI Number | 1376902809 |
|---|---|
| Provider Enumeration Date | 02/11/2016 |
| Last Update Date | 02/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376902809 | NPI | - | NPPES |
| Q017535 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS9121 (Tennessee) | Primary |
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