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Organization
ST. ELMO DENTAL
Active
Organization
ST. ELMO DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR LAWSON (PRACTICE MANAGER)
(423) 821-9771
Entity
Organization
Contact information
Practice address
3918 TENNESSEE AVE STE 300, CHATTANOOGA, TN 37409-1352
(423) 821-9771
(423) 287-5588
Mailing address
3918 TENNESSEE AVE STE 300, CHATTANOOGA, TN 37409-1352
(423) 821-9771
(423) 287-5588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/13/2025
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