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Organization

SOUTHEASTERN DENTAL ASSOCIATES OF SODDY DAISY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICHOLAS EUGENE BOWMAN D.M.D. (PRESIDENT)
(423) 332-0500
Entity
Organization

Contact information

Practice address
11246 DAYTON PIKE, SODDY DAISY, TN 37379
(423) 332-0500
(423) 332-0920
Mailing address
11246 DAYTON PIKE, SODDY DAISY, TN 37379
(423) 332-0500
(423) 332-0920

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
8527
TN
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
01/30/2007
Last updated
07/02/2026
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