# TN DENTAL PROFESSIONALS PC

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

## Provider details

- **NPI number:** 1356901946
- **Authorized official:** KATIE WORKMAN (ANALYST, REVENUE CYCLE MANAGEMENT)
- **Authorized official phone:** (440) 241-1931

## Contact information

- **Practice address:** 1309 PANORAMA DR STE 101, CHATTANOOGA, TN 37421-4771
- **Practice address phone:** (615) 620-5990
- **Mailing address:** PO BOX 306082, NASHVILLE, TN 37230-6082

## Taxonomy

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

## Other

- **Enumeration date:** 06/17/2019
- **Last updated:** 06/17/2019