NPI Code Details Logo

NPI 1942114947

NPI 1942114947 : G3 ENDODONTICS, PLLC : HIXSON, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1942114947
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    G3 ENDODONTICS, PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/29/2026
-----------------------------------------------------
    Last Update Date     |    09/29/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2835 NORTHPOINT BLVD STE 105 
-----------------------------------------------------
    City                 |    HIXSON
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37343-4862
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    423-443-8487
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3115 OLDE TOWNE LN 
-----------------------------------------------------
    City                 |    CHATTANOOGA
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37415-5904
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    423-443-8487
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/ENDODONTIST
-----------------------------------------------------
    Name                 |    DR. KEVIN PATRICK BRYANT JR.
-----------------------------------------------------
    Credential           |    DMD
-----------------------------------------------------
    Telephone            |    423-443-8487
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1223E0200X
-----------------------------------------------------
    Taxonomy Name        |    Endodontics
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.