Smile Revolution Pllc | |
2217 Olan Mills Dr Chattanooga TN 37421-1891 | |
(423) 599-8363 | |
Not Available |
Full Name | Smile Revolution Pllc |
---|---|
Speciality | Dentist |
Location | 2217 Olan Mills Dr, Chattanooga, Tennessee |
Authorized Official Name and Position | Jennifer Peterson (FINANCIAL MANAGER) |
Authorized Official Contact | 4234726482 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smile Revolution Pllc 148 Stuart Xing Ne Cleveland TN 37312-4065 Ph: () - | Smile Revolution Pllc 2217 Olan Mills Dr Chattanooga TN 37421-1891 Ph: (423) 599-8363 |
NPI Number | 1194502088 |
---|---|
Provider Enumeration Date | 09/13/2023 |
Last Update Date | 09/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194502088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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