Integrity Mobile Dental, LLC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

DS8806 Issued in TN

Legal business name

INTEGRITY MOBILE DENTAL, LLC

Practice address

802 S Crest Rd
Chattanooga, TN 37404-5923

Phone

(855) 535-5030

Fax

(855) 535-5030

NPI assigned

Aug 27, 2018

Organization subpart

No

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

Authorized official

Name

Jennifer Summitt

Title

Ceo

Phone

(855) 535-5030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1174004170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 S CREST RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374045923",
            "telephone_number": "855-535-5030",
            "fax_number": "855-535-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S CREST RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374045923",
            "telephone_number": "855-535-5030",
            "fax_number": "855-535-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY MOBILE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "SUMMITT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-535-5030"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "TN",
            "license": "DS8806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health Dentistry in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Public Health Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.