Southeastern Endodontics

LBN: Southeastern Endodontics
Southeastern Endodontics is an health care organization with primary practice located at 2030 Hamilton Place Blvd Ste. 380, Chattanooga TN 37421-6038. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Southeastern Endodontics can be contacted via phone (423) 892-4727, or through Brock, Matthew via phone (423) 892-4727.

Contact Information

Primary practice address
2030 Hamilton Place Blvd Ste. 380 Chattanooga TN 37421-6038
Phone: (423) 892-4727
Fax: (423) 899-7992
Website:
Map and Directions
Authorized official contact:
Name: Brock, Matthew DDS MSD
Phone: (423) 892-4727

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X

Profile Details

NPI number 1194885376
LBN Legal business name Southeastern Endodontics
DBA Doing business as
Authorized official Brock, Matthew DDS MSD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Aug 22nd, 2020 - about 5 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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