Organization
SCENIC CITY ORTHODONTICS OF DALTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER E PRENTICE DMD (OWNER)
(423) 855-4201
Entity
Organization
Contact information
Practice address
1202 CLEO WAY STE 2, DALTON, GA 30720-8428
(423) 855-4201
(423) 855-4203
Mailing address
3326 JENKINS RD STE 101, CHATTANOOGA, TN 37421-1598
(423) 855-4201
(423) 855-4203
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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