# CHATTANOOGA ORAL & MAXILLOFACIAL SURGERY, PLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1124295480
- **Authorized official:** DR. DAVID P MCDONALD DMD (PREIDENT/ORAL SURGEON)
- **Authorized official phone:** (423) 296-8905

## Contact information

- **Practice address:** 1720 GUNBARREL RD, SUITE 200, CHATTANOOGA, TN 37421-3192
- **Practice address phone:** (423) 296-8905
- **Practice address fax:** (423) 296-8906
- **Mailing address:** 1720 GUNBARREL RD, SUITE 200, CHATTANOOGA, TN 37421-3192
- **Mailing address phone:** (423) 296-8905
- **Mailing address fax:** (423) 296-8906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 7277 | TN | Yes |

## Other

- **Enumeration date:** 05/14/2008
- **Last updated:** 05/14/2008