| Vision Dental Consulting | |
|
7808 Mahan Gap Rd Ooltewah TN 37363-5708 | |
| (805) 794-5842 | |
| Not Available |
| Full Name | Vision Dental Consulting |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7808 Mahan Gap Rd, Ooltewah, Tennessee |
| Authorized Official Name and Position | Tracy Dean Walker (PEDIATRIC DENTIST) |
| Authorized Official Contact | 8057945842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Dental Consulting 4980 S Lee Hwy Unit 22 Mc Donald TN 37353-5786 Ph: (805) 794-5842 | Vision Dental Consulting 7808 Mahan Gap Rd Ooltewah TN 37363-5708 Ph: (805) 794-5842 |
| NPI Number | 1740771609 |
|---|---|
| Provider Enumeration Date | 05/25/2018 |
| Last Update Date | 05/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740771609 | NPI | - | NPPES |
| Q030018 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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