L. Samuelgill, Jr., D.D.S., M.S., P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

1833 Issued in TN

Legal business name

L. SAMUELGILL, JR., D.D.S., M.S., P.C.

Practice address

105 Lee Parkway Dr
Suite B
Chattanooga, TN 37421-6708

Phone

(423) 894-5978

Fax

(423) 894-6715

NPI assigned

Mar 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lester Samuel Gill Jr., D.D.S., M.S.

Title

Pediatric Dentist

Phone

(423) 894-5978

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063539393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LEE PARKWAY DR",
            "address_2": "SUITE B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216708",
            "telephone_number": "423-894-5978",
            "fax_number": "423-894-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LEE PARKWAY DR",
            "address_2": "SUITE B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216708",
            "telephone_number": "423-894-5978",
            "fax_number": "423-894-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. SAMUELGILL, JR., D.D.S., M.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "LESTER",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "423-894-5978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "1833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Pediatric 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.