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Organization
SOUTHEASTERN DENTAL ASSOCIATES OF SODDY DAISY
Active
Organization
SOUTHEASTERN DENTAL ASSOCIATES OF SODDY DAISY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS EUGENE BOWMAN D.M.D. (PRESIDENT)
(423) 332-0500
Entity
Organization
Contact information
Practice address
11246 DAYTON PIKE, SODDY DAISY, TN 37379
(423) 332-0500
(423) 332-0920
Mailing address
11246 DAYTON PIKE, SODDY DAISY, TN 37379
(423) 332-0500
(423) 332-0920
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8527
TN
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/02/2026
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