# SOUTHEASTERN DENTAL ASSOCIATES OF HIXSON

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

## Provider details

- **NPI number:** 1790905842
- **Authorized official:** DR. SUSAN MARGARET VALADIE DDS (DOCTOR)
- **Authorized official phone:** (423) 870-0791

## Contact information

- **Practice address:** 1963 NORTHPOINT BLVD., SUITE 113, HIXSON, TN 37343
- **Practice address phone:** (423) 870-0791
- **Practice address fax:** (423) 875-6951
- **Mailing address:** 1963 NORTHPOINT BLVD., SUITE 113, HIXSON, TN 37343
- **Mailing address phone:** (423) 870-0791
- **Mailing address fax:** (423) 875-6951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8542 | TN | Yes |

## Other

- **Enumeration date:** 04/30/2007
- **Last updated:** 03/26/2008