# NORTHSHORE MODERN DENTISTRY, PC

> 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
- **Other names:** Northshore Modern Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265393607
- **Authorized official:** JENNIFER JUDGE DMD (OWNER)
- **Authorized official phone:** (423) 471-3770

## Contact information

- **Practice address:** 300 CHEROKEE BLVD STE 100, CHATTANOOGA, TN 37405-4466
- **Practice address phone:** (423) 471-3770
- **Practice address fax:** (423) 269-2286
- **Mailing address:** PO BOX 660041, DALLAS, TX 75266-0041
- **Mailing address phone:** (714) 845-8890
- **Mailing address fax:** (303) 952-0892

## Taxonomy

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

## Other

- **Enumeration date:** 11/24/2025
- **Last updated:** 11/24/2025