Organization
PEDIATRIC DENTISTRY OF CLEVELAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD S ESLINGER DDS (DENTIST)
(423) 476-2160
Entity
Organization
Contact information
Practice address
430 STUART RD NE, SUITE 1, CLEVELAND, TN 37312-4918
(423) 476-2160
(423) 476-2680
Mailing address
150 STUART XING NE, CLEVELAND, TN 37312-4065
(423) 476-2160
(423) 476-2680
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7763
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3206748
—
TN
Enumeration date
08/31/2006
Last updated
03/31/2010
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