East Brainerd Oral Surgery

LBN: Childress & Meyer, Pllc
East Brainerd Oral Surgery is an health care organization with primary practice located at 1350 Mackey Branch Drive St. 110, Chattanooga TN 37421-3482. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Childress & Meyer, Pllc can be contacted via phone (423) 296-8210, or through Brown, Jennifer Lynn via phone (423) 296-8210.

Contact Information

Primary practice address
1350 Mackey Branch Drive St. 110 Chattanooga TN 37421-3482
Phone: (423) 296-8210
Fax: (423) 296-8292
Website:
Map and Directions
Authorized official contact:
Name: Brown, Jennifer Lynn Registered Dental Assistant (RDA)
Phone: (423) 296-8210

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X Tennessee

Profile Details

NPI number 1851691281
LBN Legal business name Childress & Meyer, Pllc
DBA Doing business as East Brainerd Oral Surgery
Authorized official Brown, Jennifer Lynn Registered Dental Assistant (RDA)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2010
Last updated Sep 30th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851691281 NPPES
Tennessee MEDICAID 1521422

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