TENNESSEE VALLEY PERIODONTICS PC (NPI# 1518092915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518092915 |
| Entity Type | Organization |
| Organization Name | TENNESSEE VALLEY PERIODONTICS PC |
| Practice Address |
7213 Noah Reid Rd Ste 107 Chattanooga TN 37421 |
| Practice Telephone | 4238930557 |
| Practice Fax Number | 4238930765 |
| Mailing Telephone | 4238930557 |
| Mailing Fax Number | 4238930765 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MONIQUE B FLYNN (VICE PRESIDENT) |
| Authorized Official Telephone | 4238930557 |
| Authorized Official Credential | DDS MDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
7851 | TN | Dental Providers |
| Street Address |
7213 NOAH REID RD STE 107 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152386 | Jon C Flynn | Dentist | 7213 Noah Reid Rd, Ste 107, Chattanooga, TN 37421-7223 | 2005-05-24 |
| 1801899547 | Monique B Flynn | Dentist | 7213 Noah Reid Rd, Ste 107, Chattanooga, TN 37421-7223 | 2005-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152386 | Jon C Flynn | Dentist | 7213 Noah Reid Rd, Ste 107, Chattanooga, TN 37421-7223 | 2005-05-24 |
| 1891042461 | Elizabeth Felts Randall | Dentist | 951 Riverfront Pkwy, Suite 102, Chattanooga, TN 37402-2185 | 2012-08-13 |
| 1063562460 | Chattanooga Periodontics & Dental Implants, PC | Dentist | 951 Riverfront Pkwy, Ste 102, Chattanooga, TN 37402-2185 | 2007-01-10 |
| 1144211673 | Stokely E. Doster Jr. | Dentist | 1001 Carter St, Suite G, Chattanooga, TN 37402-5014 | 2005-11-03 |
| 1801899547 | Monique B Flynn | Dentist | 7213 Noah Reid Rd, Ste 107, Chattanooga, TN 37421-7223 | 2005-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518382506 | Jason Strever | Dentist | 5022 Old Godsey Ln Ste 1, Hixson, TN 37343-6604 | 2014-02-27 |
| 1295157519 | Danny Adkins, D.d.s. | Dentist | 1301 Old Weisgarber Road, Knoxville, TN 37909 | 2014-01-07 |
| 1285946517 | John David Meister | Dentist | 1177 Old Hickory Blvd., Ste. 101, Brentwood, TN 37027-4242 | 2010-07-01 |
| 1770814261 | Thomas Faerber | Dentist | 118 Medical Ct, Clarksville, TN 37043-4602 | 2010-01-22 |
| 1184875627 | Michael Patrick Madigan | Dentist | 117 Capital Dr, Knoxville, TN 37922-3393 | 2008-10-02 |
| 1407030158 | Ted Craig Bleckstein | Dentist | 1085 River Village Ln, Afton, TN 37616-6219 | 2007-12-18 |
| 1659579472 | Matthew L Heaton | Dentist | 140 E Market Place Blvd, Knoxville, TN 37922 | 2007-07-03 |
| 1497959761 | Joseph Wade Gaither | Dentist | 301 Uptown Sq, Murfreesboro, TN 37129-0574 | 2007-06-12 |
| 1821206111 | Heather Keck Ridgway | Dentist | 510 Brennan Ln, Franklin, TN 37067-6235 | 2007-05-18 |
| 1376764688 | Ronald Loy Kilgore | Dentist | 8912 Town and Country Circle, Knoxville, TN 37923-4900 | 2007-05-02 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on TENNESSEE VALLEY PERIODONTICS PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.