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PEDIATRIC DENTISTRY AND ORTHODONTICS OF CHATTANOOGA
NPI 1710442074
Dentist - Pediatric Dentistry in Chattanooga, TN

Active since January 31, 2019
4610 BRAINERD ROAD, SUITE 3, CHATTANOOGA, TN 37411(423) 622-4173(423) 629-9889 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dentistry And Orthodontics Of Chattanooga NPPES

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

PEDIATRIC DENTISTRY AND ORTHODONTICS OF CHATTANOOGA (NPI 1710442074) is a healthcare organization registered as a pediatric dentistry in Chattanooga, Tennessee and active in the NPI registry since January 2019. The organization lists Kenneth Cooper Dyer, Co-owner/orthodontist, as its authorized official.

NPPES Registry Identity

NPI1710442074
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY AND ORTHODONTICS OF CHATTANOOGA
Location Address4610 BRAINERD ROAD, SUITE 3Chattanooga, TN 37411
Mailing Address4610 Brainerd Road, Suite 3Chattanooga, TN 37411 · (423) 622-4173 · Fax (423) 629-9889
Phone(423) 622-4173
Fax(423) 629-9889
Organization SubpartNo
Authorized OfficialKenneth Cooper DyerCo-owner/orthodontist · (423) 622-4173
Enumeration DateJanuary 31, 2019
✔ NPI 1710442074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
4610 BRAINERD ROAD, Chattanooga, TN 37411
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. HAROLD RANDOLPH HOLDER DDS
Dentist (General Practice)
4610 BRAINERD ROAD, SUITE 2
CHATTANOOGA, TN 37411
Hamilton County (423) 622-6552
DWAYNE B. MCCAMISH DDS MS PC
Dentist (Orthodontics and Dentofacial Orthopedics)
4610 BRAINERD ROAD
CHATTANOOGA, TN 37411
Hamilton County (423) 622-4173

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 Pediatric Dentistry And Orthodontics Of Chattanooga's NPI number?

The NPI number for Pediatric Dentistry And Orthodontics Of Chattanooga is 1710442074. It was assigned to this organization in the NPPES registry on January 31, 2019.

Where is Pediatric Dentistry And Orthodontics Of Chattanooga located?

Pediatric Dentistry And Orthodontics Of Chattanooga is located at 4610 Brainerd Road Suite 3, Chattanooga, TN 37411. The listed phone number is (423) 622-4173.

What is Pediatric Dentistry And Orthodontics Of Chattanooga's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry And Orthodontics Of Chattanooga was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.