TENNESSEE INSTITUTE FOR MAXILLOFACIAL SURGERY, LLC


Address: 625 Morrison Springs Rd, Chattanooga, TN 37415-3401
Phone: 4238555550

TENNESSEE INSTITUTE FOR MAXILLOFACIAL SURGERY, LLC (NPI# 1326112582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326112582
Entity Type Organization
Organization Name TENNESSEE INSTITUTE FOR MAXILLOFACIAL SURGERY, LLC
Practice Address 625 Morrison Springs Rd
Chattanooga
TN 37415-3401
Practice Telephone 4238555550
Practice Fax Number 4238999182
Mailing Telephone 4238555550
Mailing Fax Number 4238999182
Enumeration Date 2006-11-20
Last Update Date 2020-08-22
Authorized Official Name DR. THOMAS R. COOK III (CHIEF MEDICAL OFFICER)
Authorized Official Telephone 4238555550
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 625 MORRISON SPRINGS RD
City CHATTANOOGA
State TN
Zip Code 37415-3401

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1679543912 East Tn Facial Surgery, Inc Dentist 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 2006-01-26
1588293971 Ngoc-lan Huynh Dentist 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 2020-04-07
1205329836 Victoria Dixon Hall Dentist 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 2018-06-08
1053753723 Wesam Alani Dentist 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 2013-07-23
1033551700 Deena Alani Dentist 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 2013-07-23
1669760237 Jane Lee Dentist 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 2011-07-18
1003076514 Absolute Dentistry, Pllc Dentist 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 2008-06-10
1346448115 Mitchell Eugene Yates Dentist 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 2007-07-03
1265564660 Thomas R Cook IIi Dentist 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 2007-03-12
1316952484 East Tn Anesthesia Inc Nurse Anesthetist, Certified Registered 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 2006-07-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760940472 Christina Goosey Physical Therapist 2158 Northgate Park, #200, Chattanooga, TN 37415 2019-03-12
1073046561 Cynthia Groves Student in an Organized Health Care Education/Training Program 706 Tiger Lily Trl, Chattanooga, TN 37415 2017-04-11
1811358781 Bisscom Consulting and Services Social Worker 2021 Ashmore Ave, Chattanooga, TN 37415 2016-03-18
1700241783 Megan D. Vonwerssowetz Nurse Practitioner 3905 Hixson Pike, Suite 103, Chattanooga, TN 37415 2015-12-17
1457748501 Jon Caleb Hildebrand Ophthalmology 2158 Northgate Park Ln Ste 302, Chattanooga, TN 37415 2015-04-15
1699044487 Constance Chamberlain Wise Dentist 4300 Dayton Blvd, Chattanooga, TN 37415 2011-12-22
1033403969 Stephen Denney Muller Counselor 2120 Northgate Pk Ln Ste 201, New Beginnings Counseling Center, Chattanooga, TN 37415 2011-06-08
1619115938 Connie Elizabeth Fesmire Registered Nurse 3119 Reflecting Drive, Chattanooga, TN 37415 2009-01-23
1205972395 Ella Grace Ford Social Worker 2120 Northgate Park Ln Ste 201, Chattanooga, TN 37415 2007-01-29
1639224249 Chattanooga Hamilton County Hospital Authority General Acute Care Hospital 632 Morrison Spring Road, Chattanooga, TN 37415 2007-01-24
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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1003861998 Physicians Surgery Center of Chattanooga, LLC Clinic/Center 924 Spring Creek Road, Chattanooga, TN 37412-3910 2006-05-23
1447223938 Chattanooga Endoscopy Asc LLC Clinic/Center 1501 Riverside Drive, Suite 117, Chattanooga, TN 37406-4332 2006-02-07
1801890173 Novamed Surgery Center of Chattanooga LLC Clinic/Center 7305 Jarnigan Rd Ste 200, Chattanooga, TN 37421-4876 2005-06-02
1902415490 Basket Medical Pllc Clinic/Center 6221 Shallowford Rd Ste 100, Chattanooga, TN 37421-1972 2020-07-30
1881962348 Center for Spine and Pain Medicine PC Clinic/Center 7446 Shallowford Rd, Suite 102, Chattanooga, TN 37421-8815 2011-12-12
1841589116 Renaissance Surgery Center of Chattanooga, LLC Clinic/Center 1801 Gunbarrel Rd, Chattanooga, TN 37421-3130 2011-04-07
1720041254 Atrium Surgery Center, Ltd., A Tennessee Limited Partnership Clinic/Center 1949 Gunbarrel Rd, Suite 290, Chattanooga, TN 37421-3188 2006-04-07
1740256197 The Associates of Memorial Mission Surgery Center, LLC Clinic/Center 2515 Desales Ave, Chattanooga, TN 37404-1100 2006-02-27
1265438303 Eye Surgery Center of Chattanooga, LLC Clinic/Center 7268 Jarnigan Rd, Ste 104, Chattanooga, TN 37421-3096 2005-06-23
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City CHATTANOOGA
Zip Code 37415

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Dataset Information

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.

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