INTEGRITY MOBILE DENTAL, LLC (NPI# 1174004170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174004170 |
| Entity Type | Organization |
| Organization Name | INTEGRITY MOBILE DENTAL, LLC |
| Practice Address |
802 S Crest Rd Chattanooga TN 37404-5923 |
| Practice Telephone | 8555355030 |
| Practice Fax Number | 8555355030 |
| Mailing Telephone | 8555355030 |
| Mailing Fax Number | 8555355030 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Authorized Official Name | JENNIFER SUMMITT (CEO) |
| Authorized Official Telephone | 8555355030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
DS8806 | TN | Dental Providers |
| Street Address |
802 S CREST RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-5923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972594372 | William Maurice Peck | Dentist | 540 Mccallie Ave, Suite 450, Chattanooga, TN 37402-2089 | 2005-11-03 |
| 1619968211 | Suzanne Watson Hayes | Dentist | 540 Mccallie Ave., Suite 450, Chattanooga, TN 37402-2033 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962924738 | Good Life Healthcare Solutions, Inc | Dentist | 9329 Middlebrook Pike, Knoxville, TN 37931-4704 | 2017-07-12 |
| 1538540885 | Nickita R. Zaveri | Dentist | 1924 Alcoa Hwy # U-28, Knoxville, TN 37920-1511 | 2015-06-12 |
| 1861709024 | State of Tennessee | Dentist | 806 South Brown Street, Springfield, TN 37172 | 2010-09-09 |
| 1386862035 | James Albert Gillcrist | Dentist | 310 Great Circle Road, Nashville, TN 37243 | 2007-04-20 |
| 1215088216 | Delana Faye Horton | Dentist | 1233 Sw Ave Ext, Johnson City, TN 37604-6519 | 2007-01-16 |
| 1962552927 | Barry L Hopper | Dentist | 975 Emergency Rd., Blountville, TN 37617-0630 | 2007-01-11 |
| 1275611600 | Delia Fernandez | Dentist | 703 N. Main St., Mt. Pleasant, TN 38474 | 2006-11-02 |
| 1922026020 | Gary Lee Yarrington | Dentist | 150 Debra Road, Vaopc 6200 Bldg-, Chattanogga, TN 37411 | 2006-07-17 |
| 1578533915 | Ronald James Salage | Dentist | 710 North Main St, Suite A Anderson County Health Dept, Clinton, TN 37716 | 2006-01-26 |
| 1245217918 | Joseph L Hadden Dds | Dentist | 331 W Main St, Morristown, TN 37815-0429 | 2005-12-23 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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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.