Organization
TEAM POPP DENTAL, PLLC
Active
Organization
TEAM POPP DENTAL, PLLC
Active
Other names
Dr Thomas W Popp Orthodontic Specialist, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS W POPP DDS, MSD (OWNER)
(423) 870-8787
Entity
Organization
Contact information
Practice address
4211 HIXSON PIKE, CHATTANOOGA, TN 37415
(423) 870-8787
(423) 875-6489
Mailing address
4211 HIXSON PIKE, CHATTANOOGA, TN 37415
(423) 870-8787
(423) 875-6489
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4125
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017078
DORAL
TN
01
—
0017079
DORAL
TN
01
—
0039969
BCBS OF TN
TN
01
—
3072971
BCBS OF TN
TN
01
—
4024712
BCBS OF TN
TN
01
—
7499386
UNITED CONCORDIA
TN
01
—
820674
UNITED CONCORDIA
TN
Enumeration date
10/02/2006
Last updated
04/18/2022
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