Collegedale Family Dentistry P.c.

NPI #1881271161 in Ooltewah, Tennessee

Provider Information

NPI Number: 1881271161
Entity Type: Organization
Organization Name: Collegedale Family Dentistry P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 24, 2021
Last Updated: Mar 24, 2021

Practice Location

Address: 9325 APISON PIKE STE 119
City: Ooltewah
State: Tennessee
ZIP Code: 37363-3802
Phone: (423) 396-4222

Authorized Official

Name: DR. DAVID PETERSON, DDS
Title: OWNER DENTIST
Phone: (423) 396-4222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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