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Tn Southern Dental Ppo

Dentist in Chattanooga, TN · enumerated 2024 · authorized official Erika Menjivar, Sr. Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306672191

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Registry record

Entity type Organization (Type 2)
Legal business name Tn Southern Dental Ppo
Parent organization Tn Southern Dental Ppo
Practice address 1001 Carter St, Chattanooga, TN, 37402
Phone (423) 266-0722
Enumeration date Sep 10, 2024
Last updated in NPPES Sep 10, 2024

Taxonomy & classification

122300000X Dentist Dental Providers Primary

Authorized official

Name Erika Menjivar
Title Sr. Credentialing Specialist
Phone (469) 596-6137

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-09-10. Verify at npiregistry.cms.hhs.gov.
Where is Tn Southern Dental Ppo located?
The practice location on file with NPPES is in Chattanooga, TN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-10.