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General NPI Number Information
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NPI Number | 1003706011
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Entity Type | Organization
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Legal Business Name | CHATTY KIDS PEDIATRIC DENTISTRY, LLC
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 1144 E 23RD ST STE 102
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City | CHATTANOOGA
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State | TN
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Zip | 37408-2213
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Country | US
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Telephone | 423-490-7472
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Fax | 423-475-8020
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Provider Business Mailing Address
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Address Line | 1144 E 23RD ST STE 102
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City | CHATTANOOGA
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State | TN
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Zip | 37408-2213
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Country | US
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Telephone | 423-490-7472
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Fax | 423-475-8020
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Authorized Official
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Title or Position | DENTIST, PEDIATRIC DENTISTRY
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Name | DR. JONATHAN MANUEL SALINAS
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Credential | MSD
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Telephone | 423-490-7472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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