# MCOMIE FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1578234662
- **Authorized official:** VICTORIA DIXON HALL DMD (DENTIST)
- **Authorized official phone:** (423) 544-0963

## Contact information

- **Practice address:** 5999 SHALLOWFORD RD, CHATTANOOGA, TN 37421-1683
- **Practice address phone:** (423) 902-4763
- **Mailing address:** 5999 SHALLOWFORD RD, CHATTANOOGA, TN 37421-1683
- **Mailing address phone:** (423) 902-4763
- **Mailing address fax:** (423) 899-1125

## Taxonomy

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

## Other

- **Enumeration date:** 09/28/2021
- **Last updated:** 09/28/2021