# DR. DREW SHABO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shabo Dental Smile Studio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093360794
- **Authorized official:** KATIE WORKMAN (ANALYSTS, REVENUE CYCLE MANAGEMENT)
- **Authorized official phone:** (440) 241-1931

## Contact information

- **Practice address:** 1309 PANORAMA DR, CHATTANOOGA, TN 37421-4770
- **Practice address phone:** (423) 894-4084
- **Mailing address:** 1309 PANORAMA DR, CHATTANOOGA, TN 37421-4770
- **Mailing address phone:** (423) 894-4084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2019
- **Last updated:** 08/09/2019