EAST BRAINERD ORAL SURGERY
NPI 1851691281
Dentist - Oral and Maxillofacial Surgery in Chattanooga, TN

Active since November 02, 2010
1350 MACKEY BRANCH DRIVE, ST. 110, CHATTANOOGA, TN 37421(423) 296-8210(423) 296-8292 Get Directions Write a Review

NPPES record last updated: September 30, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery
  • Accepts Insurance

About EAST BRAINERD ORAL SURGERY

This page provides the complete NPI Profile along with additional information for East Brainerd Oral Surgery, a provider established in Chattanooga, Tennessee operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1851691281 assigned on November 2010. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as East Brainerd Oral Surgery. The authorized official of this NPI record is Mrs. Jennifer Lynn Brown Rda (Office Manager)

NPI
1851691281 Verify this NPI
Provider Legal Name
CHILDRESS & MEYER, PLLC
Other Organization Name
EAST BRAINERD ORAL SURGERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1350 MACKEY BRANCH DRIVE ST. 110 CHATTANOOGA, TN 37421
Location Phone
(423) 296-8210
Location Fax
(423) 296-8292
Mailing Address
1350 MACKEY BRANCH DRIVE ST. 110 CHATTANOOGA, TN 37421
Mailing Phone
(423) 396-8210
Mailing Fax
(423) 296-8292
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2010
Last Update Date
09-30-2013
Code Navigator

A dentist like East Brainerd Oral Surgery is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License State
TN
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • DentaQuest EPO Pediatric High - EPO
  • DentaQuest EPO Family High - EPO
  • DentaQuest EPO Family Low - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JENNIFER LYNN BROWN RDA

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(423) 296-8210

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1521422MEDICAID (05)TN 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
1350 MACKEY BRANCH DRIVE, SUITE 110
CHATTANOOGA, TN 37421

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851691281, enumerated as an "organization" on November 02, 2010.

The provider is located at 1350 MACKEY BRANCH DRIVE ST. 110 CHATTANOOGA, TN 37421 and the phone number is (423) 296-8210.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: DentaQuest Insurance Company Inc- TN, Medicare and. Please consult your insurance carrier or call the provider to verify.