MEDICARE: DR. AUSTIN WORLEY TOLER DMD

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
1	1223G0001X	General Practice Dentistry	12551	TN

General Provider Information

NPI Number	:	1881439529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUSTIN WORLEY TOLER DMD

Provider Business Mailing Address
First Line	:	2319 HYDAS LN
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-1532
Country	:	US
Telephone Number	:	769-972-2600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1605 WILLIAMS RD
Second Line	:
City	:	HIXSON
State	:	TN
Zip	:	37343-4934
Country	:	US
Telephone Number	:	423-843-0418
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2024
Last Update Date	:	07/25/2025

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