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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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