# ROBERTSON FAMILY DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073168332
- **Authorized official:** AMBER O ROBERTSON DDS (OWNER)
- **Authorized official phone:** (423) 899-9530

## Contact information

- **Practice address:** 104 JORDAN DR, CHATTANOOGA, TN 37421-6731
- **Practice address phone:** (423) 899-9530
- **Mailing address:** 104 JORDAN DR, CHATTANOOGA, TN 37421-6731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2019
- **Last updated:** 08/05/2019