Healthcare Provider Details

I. General information

NPI: 1700428893
Provider Name (Legal Business Name): TRUE DENTAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2019
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7344 MCCUTCHEON RD
CHATTANOOGA TN
37421-1816
US

IV. Provider business mailing address

7344 MCCUTCHEON RD
CHATTANOOGA TN
37421-1816
US

V. Phone/Fax

Practice location:
  • Phone: 423-899-9755
  • Fax:
Mailing address:
  • Phone: 423-899-9755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOEL DAVIS
Title or Position: DENTIST
Credential: DDS
Phone: 423-899-9755