Organization
ENDODONTIC GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN P BRYANT (PRESIDENT)
(423) 267-1853
Entity
Organization
Contact information
Practice address
1001 CARTER ST, SUITE H, CHATTANOOGA, TN 37402-5014
(423) 267-1853
Mailing address
1001 CARTER ST, SUITE H, CHATTANOOGA, TN 37402-5014
(423) 267-1853
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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