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Collegedale Family Dentistry P.C.

General Practice Dentistry in Ooltewah, TN · enumerated 2021 · authorized official David Peterson, Owner Dentist.

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

National Provider Identifier

1881271161

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Registry record

Entity type Organization (Type 2)
Legal business name Collegedale Family Dentistry P.C.
Practice address 9325 Apison Pike Ste 119, Ooltewah, TN, 37363
Enumeration date Mar 24, 2021
Last updated in NPPES Mar 24, 2021

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name David Peterson
Title Owner Dentist

Other identifiers

Identifier Type State Issuer
11462 Other TN DENTIST

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 2021-03-24. Verify at npiregistry.cms.hhs.gov.
Where is Collegedale Family Dentistry P.C. located?
The practice location on file with NPPES is in Ooltewah, TN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-24.