| Smile Revolution Pllc | |
|
2217 Olan Mills Dr Chattanooga TN 37421-1891 | |
| (423) 599-8363 | |
| Not Available |
| Full Name | Smile Revolution Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2217 Olan Mills Dr, Chattanooga, Tennessee |
| Authorized Official Name and Position | Jennifer Peterson (FINANCIAL MANAGER) |
| Authorized Official Contact | 4234726482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Revolution Pllc 148 Stuart Xing Ne Cleveland TN 37312-4065 Ph: () - | Smile Revolution Pllc 2217 Olan Mills Dr Chattanooga TN 37421-1891 Ph: (423) 599-8363 |
| NPI Number | 1194502088 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 09/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194502088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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