| Southeastern Dental Associates Of Soddy Daisy | |
|
124 Harrison Ln Suite 100 Soddy Daisy TN 37379-4831 | |
| (423) 332-0500 | |
| (423) 332-0920 |
| Full Name | Southeastern Dental Associates Of Soddy Daisy |
|---|---|
| Speciality | Dentist |
| Location | 124 Harrison Ln, Soddy Daisy, Tennessee |
| Authorized Official Name and Position | Nicholas Eugene Bowman (PRESIDENT) |
| Authorized Official Contact | 4233320500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Dental Associates Of Soddy Daisy 124 Harrison Ln Suite 100 Soddy Daisy TN 37379-4831 Ph: (423) 332-0500 | Southeastern Dental Associates Of Soddy Daisy 124 Harrison Ln Suite 100 Soddy Daisy TN 37379-4831 Ph: (423) 332-0500 |
| NPI Number | 1790821148 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 04/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790821148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8527 (Tennessee) | Primary |
Jeffrey L. Brewer Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10298 Walden St, Soddy Daisy, TN 37379 Phone: 423-332-3431 Fax: 423-332-5848 | |
Thomas C. Flanagan, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10407 Dayton Pike, Tom Flanagan Orthodontics, Soddy Daisy, TN 37379 Phone: 423-332-5463 | |
Joseph Sease Dmd Plcc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10480 Walden St, Soddy Daisy, TN 37379 Phone: 423-332-5544 |