Center For Oral Facial And Implant Surgery
LBN: Professional Medical Properties, Llc
Center For Oral Facial And Implant Surgery is an health care organization with primary practice located at 6015 Shallowford Road , Chattanooga TN 37421-1688. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Professional Medical Properties, Llc can be contacted via phone (423) 954-9180, or through Tipps, Wayne E via phone (423) 893-3333.
Contact Information
Primary practice address
6015 Shallowford Road
Chattanooga TN 37421-1688
Phone: (423) 954-9180
Fax: (423) 954-3054
Website:
Authorized official contact:
Name: Tipps, Wayne E Doctor of Dental Surgery (DDS)
Phone: (423) 893-3333
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery | 261QS0112X | 1224 | Tennessee |
| Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery | 261QS0112X |
Profile Details
| NPI number | 1700970407 |
|---|---|
| LBN Legal business name | Professional Medical Properties, Llc |
| DBA Doing business as | Center For Oral Facial And Implant Surgery |
| Authorized official | Tipps, Wayne E Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Apr 4th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700970407 | NPPES |
| Tennessee | MEDICAID | 3287837 |
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