Stephen a. Brooks, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0000001908 Issued in TN

Legal business name

STEPHEN A. BROOKS, D.D.S., P.C.

Practice address

102 Walnut St
Suite F
Chattanooga, TN 37403-1121

Phone

(423) 265-3471

Fax

(423) 265-3103

NPI assigned

Mar 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen A Brooks, D.D.S.

Title

Owner

Phone

(423) 265-3471

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063536563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WALNUT ST",
            "address_2": "SUITE F",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031121",
            "telephone_number": "423-265-3471",
            "fax_number": "423-265-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WALNUT ST",
            "address_2": "SUITE F",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031121",
            "telephone_number": "423-265-3471",
            "fax_number": "423-265-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A. BROOKS, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-265-3471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000001908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.