Northshore Modern Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORTHSHORE MODERN DENTISTRY, PC

Doing business as

Northshore Modern Dentistry

Practice address

300 Cherokee Blvd Ste 100
Chattanooga, TN 37405-4466

Phone

(423) 471-3770

Fax

(423) 269-2286

NPI assigned

Nov 24, 2025

Last updated

Nov 24, 2025By 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

Jennifer Judge, DMD

Title

Owner

Phone

(423) 471-3770

Specialties & licenses 1

Addresses

Other names 1

• Northshore Modern Dentistry Doing business as

Locations

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1265393607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CHEROKEE BLVD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374054466",
            "telephone_number": "423-471-3770",
            "fax_number": "423-269-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-471-3770",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northshore Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary R Norris, RN
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• Elisabeth Kate Norwood, COTA/L
• Shannon Victoria Norwood, CRNA
• Dana Notaro, AU.D.
• Russell Noth, CRNA
• Notta Group of Companies, LLC (My EyeLab)

• 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 Nov 24, 2025; 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.