Organization
SOUTHEASTERN ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW BROCK DDS MSD (PRESIDENT)
(423) 892-4727
Entity
Organization
Contact information
Practice address
2030 HAMILTON PLACE BLVD, STE. 380, CHATTANOOGA, TN 37421-6038
(423) 892-4727
(423) 899-7992
Mailing address
2030 HAMILTON PLACE BLVD, STE. 380, CHATTANOOGA, TN 37421-6038
(423) 892-4727
(423) 899-7992
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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