Todd Evans Ealy, D.D.S.

NPI #1154311884 in Ooltewah, Tennessee

Provider Information

NPI Number
1154311884
Entity Type
Individual
Name
Todd Evans Ealy, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Oct 25, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
9203 LEE HWY
Address 2
SUITE 16
ZIP Code
37363-6458
Phone
(423) 238-5744

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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