ROBERTSON FAMILY DENTAL PLLC (NPI# 1073168332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073168332 |
| Entity Type | Organization |
| Organization Name | ROBERTSON FAMILY DENTAL PLLC |
| Practice Address |
104 Jordan Dr Chattanooga TN 37421-6731 |
| Practice Telephone | 4238999530 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Authorized Official Name | AMBER O ROBERTSON (OWNER) |
| Authorized Official Telephone | 4238999530 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
104 JORDAN DR |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-6731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700931243 | Philip J. Nunnally | Dentist | 104 Jordan Dr, Chattanooga, TN 37421-6731 | 2007-01-24 |
| 1770965527 | Christopher Lee Robertson | Dentist | 104 Jordan Dr, Chattanooga, TN 37421-6731 | 2015-06-28 |
| 1164804910 | Amber Robertson | Dentist | 104 Jordan Dr, Chattanooga, TN 37421 | 2015-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841823234 | Randall Restorative Solutions, Pllc | Clinic/Center | 1373 Bridgeview Dr, Chattanooga, TN 37415-1468 | 2020-02-13 |
| 1316459514 | River Valley Dentistry | Clinic/Center | 125 Cherokee Blvd Apt 119, Chattanooga, TN 37405-3894 | 2017-10-27 |
| 1952771172 | Robert J. Gallien, Dds, Pllc | Clinic/Center | 4618 Highway 58, Chattanooga, TN 37416-3013 | 2015-09-30 |
| 1285244087 | Peak Family Dentistry Pllc | Clinic/Center | 4933 Brainerd Rd, Chattanooga, TN 37411-3902 | 2020-08-06 |
| 1518525377 | Kpm Dental Partners Pllc | Clinic/Center | 4141 Ringgold Rd, Chattanooga, TN 37412-2465 | 2019-06-05 |
| 1831666379 | Chattanooga Center Comp. Center | Clinic/Center | 830 Cherokee Blvd, Chattanooga, TN 37405-3312 | 2018-11-01 |
| 1497171847 | Ridge Services Co | Clinic/Center | 3500 Ringgold Rd, Ste 4, Chattanooga, TN 37412-1271 | 2014-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557380 | Ironwood Dental | Clinic/Center | 2550 Madison St, Clarksville, TN 37043-3704 | 2020-10-29 |
| 1942828124 | Adkins Family Dentistry, Pllc | Clinic/Center | 600 Tusculum Blvd Ste 1, Greeneville, TN 37745-3954 | 2020-07-14 |
| 1720605520 | Nancy Laden, D.m.d., P.l.l.c. | Clinic/Center | 105 Se Parkway Ste 101, Franklin, TN 37064-3932 | 2020-06-29 |
| 1922627413 | Colonial Dental, Plc | Clinic/Center | 560 Colonial Rd Ste 100, Memphis, TN 38117-4033 | 2020-04-14 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1437780905 | Knoxville Dentistry Group Pllc | Clinic/Center | 1119 Kingston Pike, Knoxville, TN 37934 | 2020-02-03 |
| 1073155511 | Captains Way Dentistry | Clinic/Center | 3001 Knoxville Center Dr Ste 1100, Knoxville, TN 37924-5076 | 2019-10-16 |
| 1053961227 | Memphis Dentures and Implants Pllc | Clinic/Center | 8950 Us-64, Suite 108, Lakeland, TN 38002-4566 | 2019-09-18 |
| 1497307730 | Robert C Wilhite Jr Dds Pllc | Clinic/Center | 1300 Hatcher Ln Ste 1, Columbia, TN 38401-3554 | 2019-07-16 |
| 1982264701 | Island Breeze Orthodontics | Clinic/Center | 217 Highway 46, Dickson, TN 37055-2507 | 2019-06-14 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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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.