ADVENTURE PEDIATRIC DENTISTRY, PLLC (NPI# 1265087969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265087969 |
| Entity Type | Organization |
| Organization Name | ADVENTURE PEDIATRIC DENTISTRY, PLLC |
| Practice Address |
6413 Lee Hwy Ste 119 Chattanooga TN 37421-4861 |
| Mailing Address |
1305 3rd Ave N Apt 145 Nashville TN 37208-2891 |
| Practice Telephone | 4238026234 |
| Mailing Telephone | 4238026234 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | DR. LATASHA MICHELLE GARRETT (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 4238026234 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
6413 LEE HWY STE 119 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-4861 |
| 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 | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275083552 | Bw Pediatric Dentistry Pllc | Dentist | 301 Manufacturers Rd, Suite 207c, Chattanooga, TN 37405-3299 | 2016-10-10 |
| 1952383283 | Jacob Reuben Dubrow | Dentist | 4610 Brainerd Rd, Chattanooga, TN 37411-3835 | 2005-11-14 |
| 1629077094 | Sidney Timothy Cox Jr. | Dentist | 6988 E Brainerd Rd, Chattanooga, TN 37421-3834 | 2005-07-19 |
| 1104286566 | Colton Popp | Dentist | 4211 Hixson Pike, Chattanooga, TN 37415-3113 | 2016-02-29 |
| 1528451309 | Neha Shah | Dentist | 6988 E Brainerd Rd, Chattanooga, TN 37421-3834 | 2015-03-18 |
| 1770743601 | Children's Dentistry of Chattanooga, Pllc | Dentist | 1720 Gunbarrel Rd, Suite 310, Chattanooga, TN 37421-3192 | 2008-06-13 |
| 1063539393 | L. Samuelgill, Jr., D.d.s., M.s., P.C. | Dentist | 105 Lee Parkway Dr, Suite B, Chattanooga, TN 37421-6708 | 2007-03-23 |
| 1003932674 | Lester Samuel Gill Jr. | Dentist | 105 Lee Parkway Dr, Suite B, Chattanooga, TN 37421-6708 | 2007-03-22 |
| 1871661900 | Clay Paul Goins | Dentist | 1720 Gunbarrel Rd, Suite 310, Chattanooga, TN 37421-3192 | 2006-11-30 |
| 1043320856 | Fred Chatles Whitmire Jr. | Dentist | 102 Walnut St, Suite D, Chattanooga, TN 37403-1121 | 2006-08-30 |
| Find all providers in CHATTANOOGA | ||||
| 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.