North River Perio PLLC
Organization Active NPI Periodontics · Hixson, TN
NPI 1477049542 · NPPES record last updated Jul 2, 2018
Key facts
- NPI
- 1477049542
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Periodontics 1223P0300X
- License
- 7108 (TN)
- Legal business name
- NORTH RIVER PERIO PLLC
- Practice address
- 5022 Old Godsey LN Ste 1
Hixson, TN 37343-6604 - Phone
- (423) 870-9567
- Fax
- (423) 870-5331
- NPI assigned
- Jul 2, 2018
- Organization subpart
- No
Authorized official
- Name
- Rhonda M West
- Title
- Insurance Manager
- Phone
- (423) 870-9567
Practitioners 2
-
Charles L McBrayer, DDS
-
Jason Strever, DMD, MS
National Provider Directory
Locations
5022 Old Godsey Ln
Ste 1
Hixson, TN 37343
Phone (423) 870-9567
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics |
1223P0300X | 7108 | TN | Yes |
Addresses
Primary practice location
5022 Old Godsey LN Ste 1
Hixson, TN 37343-6604
Mailing address
5022 Old Godsey LN Ste 1
Hixson, TN 37343-6604
Phone (423) 870-9567
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720292907 | Other | TN | CHARLES L MCBRAYER DDS |
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.