Organization
TODD E. EALY D.D.S.
Active
Other names
wolftever dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD EALY D.D.S. (OWNER)
(423) 238-5744
Entity
Organization
Contact information
Practice address
9203 LEE HWY, SUITE 16, OOLTEWAH, TN 37363-6458
(423) 238-5744
(423) 238-5786
Mailing address
9203 LEE HWY, SUITE 16, OOLTEWAH, TN 37363-6458
(423) 238-5744
(423) 238-5786
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7992
—
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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