Organization
MARK S. COWART, D.D.S. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIZ KRAMLICH (FRONT DESK)
(423) 894-5258
Entity
Organization
Contact information
Practice address
4355 HIGHWAY 58 STE 103A, CHATTANOOGA, TN 37416-2941
(423) 894-5258
(423) 892-7781
Mailing address
4355 HIGHWAY 58 STE 103A, CHATTANOOGA, TN 37416-2941
(423) 894-5258
(423) 892-7781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4766
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q003549
—
TN
Enumeration date
06/06/2014
Last updated
06/06/2014
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