Organization
DENTISTS OF EAST BRAINERD, PC
Active
Other names
Dentists of East Brainerd
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA JACKSON DDS (GENERAL DENTIST/OWNER)
(423) 800-5991
Entity
Organization
Contact information
Practice address
8021 E BRAINERD RD, CHATTANOOGA, TN 37421-3206
(423) 800-5991
(423) 829-2528
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8500
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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