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NPI Code Detail

MEDICARE: ABSOLUTE DENTISTRY, PLLC

MEDICARE: ABSOLUTE DENTISTRY, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDS0000007268TN

General Provider Information

NPI Number : 1003076514
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABSOLUTE DENTISTRY, PLLC
Provider Business Mailing Address
First Line : 625 MORRISON SPRINGS RD
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37415-3401
Country : US
Telephone Number : 615-327-9944
Fax Number :
Provider Business Practice Location Address
First Line : 625 MORRISON SPRINGS RD
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37415-3401
Country : US
Telephone Number : 615-327-9944
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. JOSEPH S DOCTORA
Credential : D.D.S.
Telephone Number : 615-327-9944
Provider Enumeration Date : 06/10/2008
Last Update Date : 06/10/2008

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Directions to “ABSOLUTE DENTISTRY, PLLC ” Practice Location

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