# TENNESSEE DENTAL PROFESSIONALS, 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
- **Parent organization:** TENNESSEE DENTAL PROFESSIONALS, PC
- **Other names:** Enclave Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548943301
- **Legal business name:** TENNESSEE DENTAL PROFESSIONALS, PC
- **Authorized official:** BELINDA HUERTA (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-2100

## Contact information

- **Practice address:** 1728 OOLTEWAH RINGGOLD RD, OOLTEWAH, TN 37363-9381
- **Practice address phone:** (423) 671-7550
- **Practice address fax:** (423) 671-7551
- **Mailing address:** 1728 OOLTEWAH RINGGOLD RD, OOLTEWAH, TN 37363-9381
- **Mailing address phone:** (423) 671-7550
- **Mailing address fax:** (423) 671-7551

## Taxonomy

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

## Other

- **Enumeration date:** 08/09/2023
- **Last updated:** 08/09/2023