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Cd Tennessee Dental, P.C.

General Practice Dentistry in Chattanooga, TN · enumerated 2018 · authorized official Ty Justice, Director, Credentialing.

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

National Provider Identifier

1740797208

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Registry record

Entity type Organization (Type 2)
Legal business name Cd Tennessee Dental, P.C.
Other name <Unavail>
Practice address 6102 Shallowford Rd Ste 101, Chattanooga, TN, 37421
Fax (423) 499-9746
Enumeration date Jan 5, 2018
Last updated in NPPES May 3, 2023

Taxonomy & classification

122300000X Dentist Dental Providers Secondary
1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Ty Justice
Title Director, Credentialing

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Cd Tennessee Dental, P.C.?
Cd Tennessee Dental, P.C. is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-03.