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Organization
SCENIC CITY ORAL SURGERY, PLLC
Active
Organization
SCENIC CITY ORAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BAKER FELTS IV DDS (OWNER, SURGEON)
(423) 541-5700
Entity
Organization
Contact information
Practice address
2835 NORTHPOINT BLVD STE 105, HIXSON, TN 37343-4862
(423) 877-3848
Mailing address
2835 NORTHPOINT BLVD STE 105, HIXSON, TN 37343-4862
(423) 877-3848
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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