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SMILE REVOLUTION PLLC
NPI 1194502088
Dentist in Chattanooga, TN

Active since September 13, 2023
2217 OLAN MILLS DR, CHATTANOOGA, TN 37421(423) 599-8363 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Smile Revolution Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMILE REVOLUTION PLLC (NPI 1194502088) is a healthcare organization registered as a dentist in Chattanooga, Tennessee and active in the NPI registry since September 2023. The organization lists Jennifer Peterson, Financial Manager, as its authorized official.

NPPES Registry Identity

NPI1194502088
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSMILE REVOLUTION PLLC
Location Address2217 OLAN MILLS DRChattanooga, TN 37421-1891
Mailing Address148 Stuart Xing NeCleveland, TN 37312-4065
Phone(423) 599-8363
Organization SubpartNo
Authorized OfficialJennifer PetersonFinancial Manager · (423) 472-6482
Enumeration DateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1194502088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2217 OLAN MILLS DR, Chattanooga, TN 37421
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JIM D. HOLLOWAY DDS
Dentist (General Practice)
2217 OLAN MILLS DR
CHATTANOOGA, TN 37421
Hamilton County (423) 240-4319
DR. TAYLOR BRYANT TRAWICK D.D.S.
Dentist (General Practice)
2217 OLAN MILLS DR
CHATTANOOGA, TN 37421
Hamilton County (423) 894-5607
WINN SMILES SHALLOWFORD, PLLC
Dentist
2217 OLAN MILLS DR
CHATTANOOGA, TN 37421
Hamilton County (423) 894-5607
EMILY O'HARA DDS
Dentist
2217 OLAN MILLS DR
CHATTANOOGA, TN 37421
Hamilton County (509) 434-6557

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smile Revolution PLLC's NPI number?

The NPI number for Smile Revolution PLLC is 1194502088. It was assigned to this organization in the NPPES registry on September 13, 2023.

Where is Smile Revolution PLLC located?

Smile Revolution PLLC is located at 2217 Olan Mills Dr, Chattanooga, TN 37421. The listed phone number is (423) 599-8363.

What is Smile Revolution PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Smile Revolution PLLC was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.