# RED LEAF ORTHODONTICS PLLC

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

## Provider details

- **NPI number:** 1194307330
- **Authorized official:** JEFFERSON TWOMLEY DDS, MSD (OWNER, DOCTOR)
- **Authorized official phone:** (504) 239-2498

## Contact information

- **Practice address:** 1414 JENKINS RD STE 146A, CHATTANOOGA, TN 37421-3470
- **Practice address phone:** (423) 541-3777
- **Mailing address:** 1414 JENKINS RD STE 146A, CHATTANOOGA, TN 37421-3470
- **Mailing address phone:** (423) 541-3777

## Taxonomy

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

## Other

- **Enumeration date:** 04/27/2021
- **Last updated:** 04/27/2021