DR. CHARLES BAKER FELTS IV (NPI# 1720472855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720472855 |
| Entity Type | Individual |
| Full Name | DR. CHARLES BAKER FELTS IV |
| Credential | D.D.S. |
| Practice Address |
901 Riverfront Pkwy Ste 202 Chattanooga TN 37402-2193 |
| Practice Telephone | 4236678153 |
| Mailing Telephone | 4235415700 |
| Mailing Fax Number | 4235415705 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2019-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS0000010713 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386640704 | Charles Baker Felts IIi | Dentist | 102 Walnut St, Chattanooga, TN 37403-1121 | 2005-06-21 |
| Street Address |
901 RIVERFRONT PKWY STE 202 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37402-2193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356902639 | Riverbend Oral Surgery, LLC | Dentist | 901 Riverfront Pkwy Ste 202, Chattanooga, TN 37402-2196 | 2019-06-26 |
| 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 | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740417583 | Brandon K. Cannon | Dentist | 2290 Ogletree Ave Ste 104, Chattanooga, TN 37421-8828 | 2009-06-19 |
| 1538230404 | Ivo Aaron Miller | Dentist | 6015 Shallowford Rd, Chattanooga, TN 37421-1688 | 2006-11-13 |
| 1720037500 | William David Fox | Dentist | 4110c Brainerd Rd, Chattanooga, TN 37411 | 2006-05-09 |
| 1679543912 | East Tn Facial Surgery, Inc | Dentist | 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 | 2006-01-26 |
| 1467430538 | Roger William Childress | Dentist | 1350 Mackey Branch Drive, Suite 110, Chattanooga, TN 37421 | 2006-01-09 |
| 1356902639 | Riverbend Oral Surgery, LLC | Dentist | 901 Riverfront Pkwy Ste 202, Chattanooga, TN 37402-2196 | 2019-06-26 |
| 1851691281 | Childress & Meyer, Pllc | Dentist | 1350 Mackey Branch Drive, St. 110, Chattanooga, TN 37421-3482 | 2010-11-02 |
| 1124295480 | Chattanooga Oral & Maxillofacial Surgery, Plc | Dentist | 1720 Gunbarrel Rd, Suite 200, Chattanooga, TN 37421-3192 | 2008-05-14 |
| 1265564660 | Thomas R Cook IIi | Dentist | 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 | 2007-03-12 |
| 1689663692 | David Patrick Mcdonald | Dentist | 1720 Gunbarrel Rd, Suite 200, Chattanooga, TN 37421-3192 | 2005-10-21 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37402 |
Please comment or provide details below to improve the information on DR. CHARLES BAKER FELTS IV.
| 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.