| L. Samuelgill, Jr., D.d.s., M.s., P.c. | |
|
105 Lee Parkway Dr Suite B Chattanooga TN 37421-6708 | |
| (423) 894-5978 | |
| (423) 894-6715 |
| Full Name | L. Samuelgill, Jr., D.d.s., M.s., P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 105 Lee Parkway Dr, Chattanooga, Tennessee |
| Authorized Official Name and Position | Lester Samuel Gill (PEDIATRIC DENTIST) |
| Authorized Official Contact | 4238945978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L. Samuelgill, Jr., D.d.s., M.s., P.c. 105 Lee Parkway Dr Suite B Chattanooga TN 37421-6708 Ph: (423) 894-5978 | L. Samuelgill, Jr., D.d.s., M.s., P.c. 105 Lee Parkway Dr Suite B Chattanooga TN 37421-6708 Ph: (423) 894-5978 |
| NPI Number | 1063539393 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063539393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 1833 (Tennessee) | Primary |
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