Organization Active NPI

Lookout Valley Dental P C

  • Dentist
  • Chattanooga, TN
National Provider Identifier
1477754141
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LOOKOUT VALLEY DENTAL P C
Practice address
3309 Cummings Hwy
Suite F
Chattanooga, TN 37419-2376
Phone
(423) 821-3279
Fax
(423) 821-1620
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Deborah S Leonard
Title
Office Manager
Phone
(423) 821-3279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3309 Cummings Hwy
Suite F
Chattanooga, TN 37419-2376

Mailing address

3309 Cummings Hwy
Suite F
Chattanooga, TN 37419-2376
Phone (423) 821-3279

National Provider Directory

National Provider Directory

Locations

3309 Cummings Hwy
Ste F
Chattanooga, TN 37419
Phone (423) 821-3279

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477754141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 CUMMINGS HWY",
            "address_2": "SUITE F",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374192376",
            "telephone_number": "423-821-3279",
            "fax_number": "423-821-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 CUMMINGS HWY",
            "address_2": "SUITE F",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374192376",
            "telephone_number": "423-821-3279",
            "fax_number": "423-821-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOKOUT VALLEY DENTAL P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-821-3279",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • 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.