Organization
L. SAMUELGILL, JR., D.D.S., M.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESTER SAMUEL GILL JR. D.D.S., M.S. (PEDIATRIC DENTIST)
(423) 894-5978
Entity
Organization
Contact information
Practice address
105 LEE PARKWAY DR, SUITE B, CHATTANOOGA, TN 37421-6708
(423) 894-5978
(423) 894-6715
Mailing address
105 LEE PARKWAY DR, SUITE B, CHATTANOOGA, TN 37421-6708
(423) 894-5978
(423) 894-6715
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1833
TN
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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