Todd E. Ealy D.d.s.

NPI #1740577246 in Ooltewah, Tennessee

Provider Information

NPI Number: 1740577246
Entity Type: Organization
Organization Name: Todd E. Ealy D.d.s.
Primary Specialty: Dentist
Enumeration Date: Jul 5, 2011
Last Updated: Jul 5, 2011

Practice Location

Address: 9203 LEE HWY
Address 2: SUITE 16
City: Ooltewah
State: Tennessee
ZIP Code: 37363-6458
Phone: (423) 238-5744

Authorized Official

Name: DR. TODD EALY, D.D.S.
Title: OWNER
Phone: (423) 238-5744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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