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1942114947 NPI number — G3 ENDODONTICS, PLLC

NPI Number: 1942114947
Health Care Provider/Practitioner: G3 ENDODONTICS, PLLC

Information about “1942114947” NPI (G3 ENDODONTICS, PLLC) exists in 1942114947 in HTML format HTML  |  1942114947 in plain Text format TXT  |  1942114947 in PDF (Portable Document Format) PDF  |  1942114947 in an XML format XML  formats.

NPI Number : 1942114947 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942114947",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "G3 ENDODONTICS, PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3115 OLDE TOWNE LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHATTANOOGA",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37415-5904",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-443-8487",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2835 NORTHPOINT BLVD STE 105",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HIXSON",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37343-4862",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "423-443-8487",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/29/2026",
    "LastUpdateDate": "09/29/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BRYANT",
    "AuthorizedOfficialFirstName": "KEVIN",
    "AuthorizedOfficialMiddleName": "PATRICK",
    "AuthorizedOfficialTitle": "OWNER/ENDODONTIST",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": "JR.",
    "AuthorizedOfficialCredential": "DMD",
    "AuthorizedOfficialTelephoneNumber": "423-443-8487",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223E0200X",
        "TaxonomyName": "Endodontics",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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