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SOUTHEASTERN ENDODONTICS
NPI 1194885376
Dentist - Endodontics in Chattanooga, TN

Active since December 11, 2006
2030 HAMILTON PLACE BLVD, STE. 380, CHATTANOOGA, TN 37421(423) 892-4727(423) 899-7992 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeastern Endodontics NPPES

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

SOUTHEASTERN ENDODONTICS (NPI 1194885376) is a healthcare organization registered as an endodontics in Chattanooga, Tennessee and active in the NPI registry since December 2006. The organization lists Matthew Brock, President, as its authorized official.

NPPES Registry Identity

NPI1194885376
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameSOUTHEASTERN ENDODONTICS
Location Address2030 HAMILTON PLACE BLVD, STE. 380Chattanooga, TN 37421-6038
Mailing Address2030 Hamilton Place Blvd, Ste. 380Chattanooga, TN 37421-6038 · (423) 892-4727 · Fax (423) 899-7992
Phone(423) 892-4727
Fax(423) 899-7992
Organization SubpartNo
Authorized OfficialMatthew BrockPresident · (423) 892-4727
Enumeration DateDecember 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1194885376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
2030 HAMILTON PLACE BLVD, 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

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

SOUTHERN HEALTH PARTNERS, INC.
Clinic/Center (Health Service)
2030 HAMILTON PLACE BLVD, SUITE 140
CHATTANOOGA, TN 37421
Hamilton County (423) 553-5635

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 Southeastern Endodontics's NPI number?

The NPI number for Southeastern Endodontics is 1194885376. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Southeastern Endodontics located?

Southeastern Endodontics is located at 2030 Hamilton Place Blvd Ste. 380, Chattanooga, TN 37421. The listed phone number is (423) 892-4727.

What is Southeastern Endodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Southeastern Endodontics was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.