MICHAEL J.REVENIG DDS, GLENN D. WILSON DDS, PLLC
NPI 1821420464
Dentist - General Practice in Chattanooga, TN

Q: What is Michael J.Revenig Dds, Glenn D. Wilson Dds, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since August 06, 2013

4601 BRAINERD RD, CHATTANOOGA, TN 37411(423) 698-6005(423) 698-6410 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael J.revenig Dds, Glenn D. Wilson Dds, Pllc NPPES

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

MICHAEL J.REVENIG DDS, GLENN D. WILSON DDS, PLLC (NPI 1821420464) is a healthcare organization registered as a general practice in Chattanooga, Tennessee and active in the NPI registry since August 2013. The organization lists Lisa U Revenig, Owner's Wife, as its authorized official.

NPPES Registry Identity

NPI1821420464

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMICHAEL J.REVENIG DDS, GLENN D. WILSON DDS, PLLC

Location Address4601 BRAINERD RDChattanooga, TN 37411-3826

Mailing Address4601 Brainerd RdChattanooga, TN 37411-3826 · (423) 698-6005 · Fax (423) 698-6410

Phone(423) 698-6005

Fax(423) 698-6410

Organization SubpartNo

Authorized OfficialLisa U RevenigOwner's Wife · (423) 698-6005

Enumeration DateAugust 6, 2013

✔ NPI 1821420464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4601 BRAINERD RD, Chattanooga, TN 37411

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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 3

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

JESSICA EVAN GRANT RDH (REGISTERED DENT

Dental Hygienist

4601 BRAINERD RD
CHATTANOOGA, TN 37411

Hamilton County (423) 698-6005

MICHAEL JOHN REVENIG DDS

Dentist (General Practice)

4601 BRAINERD RD
CHATTANOOGA, TN 37411

Hamilton County (423) 698-6005

DR. GLENN DEAN WILSON DDS

Dentist (General Practice)

4601 BRAINERD RD
CHATTANOOGA, TN 37411

Hamilton County (423) 698-6005

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 Michael J.Revenig Dds, Glenn D. Wilson Dds, PLLC's NPI number?

The NPI number for Michael J.Revenig Dds, Glenn D. Wilson Dds, PLLC is 1821420464. It was assigned to this organization in the NPPES registry on August 6, 2013.

Where is Michael J.Revenig Dds, Glenn D. Wilson Dds, PLLC located?

Michael J.Revenig Dds, Glenn D. Wilson Dds, PLLC is located at 4601 Brainerd Rd, Chattanooga, TN 37411. The listed phone number is (423) 698-6005.

What is Michael J.Revenig Dds, Glenn D. Wilson Dds, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Michael J.Revenig Dds, Glenn D. Wilson Dds, PLLC was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.