Southeastern Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

SOUTHEASTERN ENDODONTICS

Practice address

2030 Hamilton Place Blvd
Ste. 380
Chattanooga, TN 37421-6038

Phone

(423) 892-4727

Fax

(423) 899-7992

NPI assigned

Dec 11, 2006

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. Matthew Brock, DDS MSD

Title

President

Phone

(423) 892-4727

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George M Brock, D.D.S., M.S.D.

  • Endodontics
  • Hixson, TN
  • NPI 1508856113
  NPD (past)
• Yvette L Burns, DDS,MS

  • Endodontics
  • Hixson, TN
  • NPI 1134119753
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194885376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 HAMILTON PLACE BLVD",
            "address_2": "STE. 380",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216038",
            "telephone_number": "423-892-4727",
            "fax_number": "423-899-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 HAMILTON PLACE BLVD",
            "address_2": "STE. 380",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216038",
            "telephone_number": "423-892-4727",
            "fax_number": "423-899-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-892-4727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Tennessee Human Resource Agency/Hamilton County
• Southeast Tennessee Spine and Nerve Institute PLLC
• Southeast Transportation, LLC
• Southeastern Behavioral Health
• Southeastern Emergency Services of Memphis, P.C.
• Southeastern Orthotics & Prosthetics, Inc (Restorative Prosthetics & Orthotics)
• Southeastern Pathology Associates, PLLC
• Southeastern Spine, PLLC
• Southeastern Surgical, LLC (Riverfront Surgery Center)
• Southeastern Surgical, LLC (Riverfront Surgery Center)

• Endodontics in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Endodontics 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.