EAST TN FACIAL SURGERY, INC (NPI# 1679543912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679543912 |
| Entity Type | Organization |
| Organization Name | EAST TN FACIAL SURGERY, INC |
| Practice Address |
625 Morrison Springs Rd Chattanooga TN 37415-3401 |
| Practice Telephone | 4238555550 |
| Practice Fax Number | 4238999182 |
| Mailing Telephone | 4238555550 |
| Mailing Fax Number | 4238999182 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THOMAS R COOK III (ORAL & MAXILLOFACIAL SURGEON) |
| Authorized Official Telephone | 4238555550 |
| Authorized Official Credential | DMD, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS0000004615 | TN | Dental Providers |
| Street Address |
625 MORRISON SPRINGS RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37415-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588293971 | Ngoc-lan Huynh | Dentist | 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 | 2020-04-07 |
| 1205329836 | Victoria Dixon Hall | Dentist | 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 | 2018-06-08 |
| 1053753723 | Wesam Alani | Dentist | 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 | 2013-07-23 |
| 1033551700 | Deena Alani | Dentist | 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 | 2013-07-23 |
| 1669760237 | Jane Lee | Dentist | 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 | 2011-07-18 |
| 1003076514 | Absolute Dentistry, Pllc | Dentist | 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 | 2008-06-10 |
| 1346448115 | Mitchell Eugene Yates | Dentist | 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 | 2007-07-03 |
| 1265564660 | Thomas R Cook IIi | Dentist | 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 | 2007-03-12 |
| 1326112582 | Tennessee Institute for Maxillofacial Surgery, LLC | Clinic/Center | 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 | 2006-11-20 |
| 1316952484 | East Tn Anesthesia Inc | Nurse Anesthetist, Certified Registered | 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 | 2006-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940472 | Christina Goosey | Physical Therapist | 2158 Northgate Park, #200, Chattanooga, TN 37415 | 2019-03-12 |
| 1073046561 | Cynthia Groves | Student in an Organized Health Care Education/Training Program | 706 Tiger Lily Trl, Chattanooga, TN 37415 | 2017-04-11 |
| 1811358781 | Bisscom Consulting and Services | Social Worker | 2021 Ashmore Ave, Chattanooga, TN 37415 | 2016-03-18 |
| 1700241783 | Megan D. Vonwerssowetz | Nurse Practitioner | 3905 Hixson Pike, Suite 103, Chattanooga, TN 37415 | 2015-12-17 |
| 1457748501 | Jon Caleb Hildebrand | Ophthalmology | 2158 Northgate Park Ln Ste 302, Chattanooga, TN 37415 | 2015-04-15 |
| 1699044487 | Constance Chamberlain Wise | Dentist | 4300 Dayton Blvd, Chattanooga, TN 37415 | 2011-12-22 |
| 1033403969 | Stephen Denney Muller | Counselor | 2120 Northgate Pk Ln Ste 201, New Beginnings Counseling Center, Chattanooga, TN 37415 | 2011-06-08 |
| 1619115938 | Connie Elizabeth Fesmire | Registered Nurse | 3119 Reflecting Drive, Chattanooga, TN 37415 | 2009-01-23 |
| 1205972395 | Ella Grace Ford | Social Worker | 2120 Northgate Park Ln Ste 201, Chattanooga, TN 37415 | 2007-01-29 |
| 1639224249 | Chattanooga Hamilton County Hospital Authority | General Acute Care Hospital | 632 Morrison Spring Road, Chattanooga, TN 37415 | 2007-01-24 |
| Find all providers in zip 37415 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720472855 | Charles Baker Felts Iv | Dentist | 901 Riverfront Pkwy Ste 202, Chattanooga, TN 37402-2193 | 2015-03-26 |
| 1740417583 | Brandon K. Cannon | Dentist | 2290 Ogletree Ave Ste 104, Chattanooga, TN 37421-8828 | 2009-06-19 |
| 1538230404 | Ivo Aaron Miller | Dentist | 6015 Shallowford Rd, Chattanooga, TN 37421-1688 | 2006-11-13 |
| 1720037500 | William David Fox | Dentist | 4110c Brainerd Rd, Chattanooga, TN 37411 | 2006-05-09 |
| 1467430538 | Roger William Childress | Dentist | 1350 Mackey Branch Drive, Suite 110, Chattanooga, TN 37421 | 2006-01-09 |
| 1356902639 | Riverbend Oral Surgery, LLC | Dentist | 901 Riverfront Pkwy Ste 202, Chattanooga, TN 37402-2196 | 2019-06-26 |
| 1851691281 | Childress & Meyer, Pllc | Dentist | 1350 Mackey Branch Drive, St. 110, Chattanooga, TN 37421-3482 | 2010-11-02 |
| 1124295480 | Chattanooga Oral & Maxillofacial Surgery, Plc | Dentist | 1720 Gunbarrel Rd, Suite 200, Chattanooga, TN 37421-3192 | 2008-05-14 |
| 1265564660 | Thomas R Cook IIi | Dentist | 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 | 2007-03-12 |
| 1689663692 | David Patrick Mcdonald | Dentist | 1720 Gunbarrel Rd, Suite 200, Chattanooga, TN 37421-3192 | 2005-10-21 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37415 |
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| 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.