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NPI Code Detail

MEDICARE: DR. THOMAS W POPP DDS, MSD

MEDICARE:  DR. THOMAS W POPP  DDS, MSD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry4125TN
21223X0400XOrthodontics and Dentofacial Orthopedics Dentistry4125TN

General Provider Information

NPI Number : 1023009750
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS W POPP DDS, MSD
Provider Business Mailing Address
First Line : 4211 HIXSON PIKE
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37415-3113
Country : US
Telephone Number : 423-870-8787
Fax Number : 423-875-6489
Provider Business Practice Location Address
First Line : 4211 HIXSON PIKE
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37415-3113
Country : US
Telephone Number : 423-870-8787
Fax Number : 423-875-6489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 11/05/2020

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Directions to “ DR. THOMAS W POPP DDS, MSD” Practice Location

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