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General NPI Number Information
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NPI Number | 1841383437
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Entity Type | Organization
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Legal Business Name | TEAM POPP DENTAL, PLLC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 4211 HIXSON PIKE
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City | CHATTANOOGA
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State | TN
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Zip | 37415
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Country | US
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Telephone | 423-870-8787
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Fax | 423-875-6489
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Provider Business Mailing Address
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Address Line | 4211 HIXSON PIKE
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City | CHATTANOOGA
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State | TN
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Zip | 37415
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Country | US
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Telephone | 423-870-8787
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Fax | 423-875-6489
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS W POPP
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Credential | DDS, MSD
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Telephone | 423-870-8787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 4125
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License Number State | TN
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