Individual
EWING JACKSON THREET II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7333 SHALLOWFORD RD, CHATTANOOGA, TN 37421-2627
(276) 632-2634
Mailing address
7333 SHALLOWFORD RD, CHATTANOOGA, TN 37421-2627
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401417624
VA
1223E0200X
Endodontics
Primary
10932
TN
125Q00000X
Oral Medicine Dentistry
0401417624
VA
Other
Enumeration date
04/03/2017
Last updated
07/31/2025
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