BW Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9112 Issued in TN

Legal business name

BW PEDIATRIC DENTISTRY PLLC

Doing business as

Northshore Pediatric Dentistry

Practice address

301 Manufacturers Rd
Suite 207C
Chattanooga, TN 37405-3299

Phone

(423) 362-5437

NPI assigned

Oct 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Flanagan Webb, D.D.S.

Title

Owner

Phone

(423) 362-5437

Specialties & licenses 1

Addresses

Other names 1

• Northshore Pediatric Dentistry Doing business as

Locations

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1275083552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MANUFACTURERS RD",
            "address_2": "SUITE 207C",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053299",
            "telephone_number": "423-362-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MANUFACTURERS RD",
            "address_2": "SUITE 207C",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053299",
            "telephone_number": "423-362-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BW PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "FLANAGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-362-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "9112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northshore Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lewis Christen Butterworth
• J. Lane Buttram IV, PHARM.D.
• Alexander Buttress, MD
• Alexandra Mahrt Butts, CRNA
• Jeffrey Butts, O.D.
• Bwell4Ever, LLC
• By Our Hands PLLC
• Stephanie Lee Byard, PA-C
• Jeonga Byeon
• Brynn Atchley Byers, CRNP-AC

• 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 Oct 10, 2016; 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.