ENDODONTIC GROUP PC (NPI# 1023131364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023131364 |
| Entity Type | Organization |
| Organization Name | ENDODONTIC GROUP PC |
| Practice Address |
1001 Carter St Suite H Chattanooga TN 37402-5014 |
| Practice Telephone | 4232671853 |
| Mailing Telephone | 4232671853 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KEVIN P BRYANT (PRESIDENT) |
| Authorized Official Telephone | 4232671853 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Street Address |
1001 CARTER ST SUITE H |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37402-5014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526727 | Kevin P Bryant | Dentist | 1001 Carter St, Ste H, Chattanooga, TN 37402-5014 | 2005-05-27 |
| 1871793737 | D Frank Trundle Jr. | Dentist | 1001 Carter St, Suite E, Chattanooga, TN 37402-5014 | 2007-07-19 |
| 1194867671 | James W Mcdaniel | Dentist | 1001 Carter St, Ste A, Chattanooga, TN 37402-5014 | 2007-02-13 |
| 1932209210 | Joe L Mosier | Dentist | 1001 Carter St, Chattanooga, TN 37402-5014 | 2006-09-25 |
| 1144211673 | Stokely E. Doster Jr. | Dentist | 1001 Carter St, Suite G, Chattanooga, TN 37402-5014 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480227 | Kathryn Ann Russell | Dietitian, Registered | 1067 Riverfront Pkwy., Suite 201, Chattanooga, TN 37402 | 2020-09-01 |
| 1962066167 | Carina Grace Pearson | Counselor | 1024 East M L King, Chattanooga, TN 37402 | 2019-04-24 |
| 1619461605 | Operative Monitoring of Southeast Tennessee | Psychiatry & Neurology | 200 W. Mlk Blvd, Suite 1000 (10th Floor), Chattanooga, TN 37402 | 2018-06-21 |
| 1427552280 | Riverdale Health Group LLC | Home Health | 200 W M L King Blvd, 1035 B, Chattanooga, TN 37402 | 2018-03-19 |
| 1336508431 | Ultraflex Systems, Inc. | Prosthetic/Orthotic Supplier | 200 W. Martin Luther King Blvd., Suite 1000, Chattanooga, TN 37402 | 2016-02-17 |
| 1982008868 | Freeman C. Doster Dds | Dentist | 1001 Carter Street, Suite B, Chattanooga, TN 37402 | 2014-10-21 |
| 1508021577 | Tommie Chadrena Thompson | Registered Nurse | 504 Mccallie Ave, Suite 450, Chattanooga, TN 37402 | 2008-07-18 |
| 1720174360 | Jenny Lynn Phillips | Physician Assistant | 1401 Carter Street Suite 102, Chattanooga, TN 37402 | 2006-10-04 |
| 1902843766 | Barbara Ann Beeler | Internal Medicine | 1 Cameron Hill Circle, Bcbst, Chattanooga, TN 37402 | 2006-06-01 |
| 1699764084 | Michelle S Kimball | Nurse Practitioner | 1101 Carter Street, Chattanooga, TN 37402 | 2005-10-18 |
| Find all providers in zip 37402 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194885376 | Southeastern Endodontics | Dentist | 2030 Hamilton Place Blvd, Ste. 380, Chattanooga, TN 37421-6038 | 2006-12-11 |
| 1164509824 | John Pollard Hoover Jr. | Dentist | 6101 Shallowford Rd, Suite 101, Chattanooga, TN 37421-7802 | 2006-11-01 |
| 1174526727 | Kevin P Bryant | Dentist | 1001 Carter St, Ste H, Chattanooga, TN 37402-5014 | 2005-05-27 |
| 1336354257 | Joel Warner Berlin | Dentist | 6425 Bonny Oaks Dr, Suite 101, Chattanooga, TN 37416-6003 | 2007-05-14 |
| 1932209210 | Joe L Mosier | Dentist | 1001 Carter St, Chattanooga, TN 37402-5014 | 2006-09-25 |
| 1669489399 | Erik Eyvind Jansen | Dentist | 1720 Gunbarrel Rd, Suite 308, Chattanooga, TN 37421-3192 | 2006-08-02 |
| 1912914631 | Joseph Britton Milholm | Dentist | 1720 Gunbarrel Rd, Suite 308, Chattanooga, TN 37421-3192 | 2006-08-02 |
| 1134143712 | East Tennessee Endodontics, Pllc | Dentist | 1720 Gunbarrel Rd, Suite 308, Chattanooga, TN 37421-3192 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353080 | Assured Endodontics, Pllc | Dentist | 2026 Exeter Rd Unit J-2, Germantown, TN 38138-3965 | 2020-10-15 |
| 1417414350 | Mid South Endodontics Pllc | Dentist | 1918 Exeter Rd Unit 1, Germantown, TN 38138-2970 | 2019-02-27 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| 1649630534 | Josanne Mildred O'dell | Dentist | 2060 Steeplebrook Dr, Cordova, TN 38016-5075 | 2016-03-04 |
| 1558731463 | Cumberland Endodontics Pllc | Dentist | 1528 Hunt Club Blvd, Suite 410, Gallatin, TN 37066-6036 | 2015-10-05 |
| 1811398951 | Poppy Montana-marie Blaseio | Dentist | 5111 Maryland Way Ste 209, Brentwood, TN 37027-7513 | 2014-09-09 |
| 1982021291 | Heritage Park Endodontics | Dentist | 538 Brandies Cir, Ste 105, Murfreesboro, TN 37128-7698 | 2014-03-25 |
| 1821438722 | Riley Beth Sturgill | Dentist | 2800 Peoples St Ste 60, Johnson City, TN 37604-4158 | 2013-06-25 |
| 1255629028 | Dental Specialists of Nashville, Pllc | Dentist | 447 Murfreesboro Pike, Nashville, TN 37210-2842 | 2011-07-14 |
| 1558659516 | Mack Endodontics Dds P.C. | Dentist | 5180 Park Ave Ste 300, Memphis, TN 38119-3531 | 2011-07-12 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37402 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.