ELIZABETH FELTS RANDALL


Address: 951 Riverfront Pkwy, Suite 102, Chattanooga, TN 37402-2185
Phone: 4237562450

ELIZABETH FELTS RANDALL (NPI# 1891042461) 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) 1891042461
Entity Type Individual
Full Name ELIZABETH FELTS RANDALL
Other Name ELIZABETH A FELTS
Credential D.M.D.
Practice Address 951 Riverfront Pkwy
Suite 102
Chattanooga
TN 37402-2185
Practice Telephone 4237562450
Practice Fax Number 4237565451
Mailing Telephone 4237562450
Mailing Fax Number 4237565451
Enumeration Date 2012-08-13
Last Update Date 2015-04-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
9462 TN Dental Providers
N 1223P0300X Dentist
Specialization: Periodontics
5960C1 AL Dental Providers

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1942614524 Elizabeth Randall Physical Therapy Assistant 4704 W Diana Ave, Glendale, AZ 85302-5125 2014-06-11
1285645622 Elizabeth Cassel Randall Social Worker 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 2006-08-11

Office Location

Street Address 951 RIVERFRONT PKWY
SUITE 102
City CHATTANOOGA
State TN
Zip Code 37402-2185

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265426894 Mark Alan Ellis Dentist 951 Riverfront Pkwy, Suite 302, Chattanooga, TN 37402-2185 2005-09-09
1336596196 Clark Dental Studio, Pllc Dentist 951 Riverfront Pkwy, #303, Chattanooga, TN 37402-2185 2016-05-20
1538585161 Mark A. Ellis, Dmd, Pllc Dentist 951 Riverfront Pkwy, Suite 302, Chattanooga, TN 37402-2185 2014-03-06
1942510979 Mcdaniel Orthodontics, P.C. Dentist 951 Riverfront Pkwy, Suite 202, Chattanooga, TN 37402-2185 2010-10-08
1063562460 Chattanooga Periodontics & Dental Implants, PC Dentist 951 Riverfront Pkwy, Ste 102, Chattanooga, TN 37402-2185 2007-01-10

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437152386 Jon C Flynn Dentist 7213 Noah Reid Rd, Ste 107, Chattanooga, TN 37421-7223 2005-05-24
1518092915 Tennessee Valley Periodontics PC Dentist 7213 Noah Reid Rd, Ste 107, Chattanooga, TN 37421 2007-02-23
1063562460 Chattanooga Periodontics & Dental Implants, PC Dentist 951 Riverfront Pkwy, Ste 102, Chattanooga, TN 37402-2185 2007-01-10
1144211673 Stokely E. Doster Jr. Dentist 1001 Carter St, Suite G, Chattanooga, TN 37402-5014 2005-11-03
1801899547 Monique B Flynn Dentist 7213 Noah Reid Rd, Ste 107, Chattanooga, TN 37421-7223 2005-05-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518382506 Jason Strever Dentist 5022 Old Godsey Ln Ste 1, Hixson, TN 37343-6604 2014-02-27
1295157519 Danny Adkins, D.d.s. Dentist 1301 Old Weisgarber Road, Knoxville, TN 37909 2014-01-07
1285946517 John David Meister Dentist 1177 Old Hickory Blvd., Ste. 101, Brentwood, TN 37027-4242 2010-07-01
1770814261 Thomas Faerber Dentist 118 Medical Ct, Clarksville, TN 37043-4602 2010-01-22
1184875627 Michael Patrick Madigan Dentist 117 Capital Dr, Knoxville, TN 37922-3393 2008-10-02
1407030158 Ted Craig Bleckstein Dentist 1085 River Village Ln, Afton, TN 37616-6219 2007-12-18
1659579472 Matthew L Heaton Dentist 140 E Market Place Blvd, Knoxville, TN 37922 2007-07-03
1497959761 Joseph Wade Gaither Dentist 301 Uptown Sq, Murfreesboro, TN 37129-0574 2007-06-12
1821206111 Heather Keck Ridgway Dentist 510 Brennan Ln, Franklin, TN 37067-6235 2007-05-18
1376764688 Ronald Loy Kilgore Dentist 8912 Town and Country Circle, Knoxville, TN 37923-4900 2007-05-02
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Competitor

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City CHATTANOOGA
Zip Code 37402

Improve Information

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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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