| Stephen A. Brooks, D.D.S., P.C. | |
|
102 Walnut St Suite F Chattanooga TN 37403-1121 | |
| (423) 265-3471 | |
| (423) 265-3103 |
| Full Name | Stephen A. Brooks, D.D.S., P.C. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 102 Walnut St, Chattanooga, Tennessee |
| Authorized Official Name and Position | Stephen a Brooks (OWNER) |
| Authorized Official Contact | 4232653471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen A. Brooks, D.D.S., P.C. 102 Walnut St Suite F Chattanooga TN 37403-1121 Ph: (423) 265-3471 | Stephen A. Brooks, D.D.S., P.C. 102 Walnut St Suite F Chattanooga TN 37403-1121 Ph: (423) 265-3471 |
| NPI Number | 1063536563 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063536563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS0000001908 (Tennessee) | Primary |
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