# MARK S. COWART, D.D.S. INC

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

## Provider details

- **NPI number:** 1497168579
- **Authorized official:** MRS. LIZ KRAMLICH (FRONT DESK)
- **Authorized official phone:** (423) 894-5258

## Contact information

- **Practice address:** 4355 HIGHWAY 58 STE 103A, CHATTANOOGA, TN 37416-2941
- **Practice address phone:** (423) 894-5258
- **Practice address fax:** (423) 892-7781
- **Mailing address:** 4355 HIGHWAY 58 STE 103A, CHATTANOOGA, TN 37416-2941
- **Mailing address phone:** (423) 894-5258
- **Mailing address fax:** (423) 892-7781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4766 | TN | Yes |

## Other

- **Enumeration date:** 06/06/2014
- **Last updated:** 06/06/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | Q003549 | — | TN |