Organization
GREATER BRAINERD DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL KIM DDS (DENTIST/OWNER)
(909) 645-4192
Entity
Organization
Contact information
Practice address
5612 BRAINERD RD STE 100, CHATTANOOGA, TN 37411-5310
(423) 485-1000
Mailing address
5612 BRAINERD RD STE 100, CHATTANOOGA, TN 37411-5310
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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