Organization Active NPI

Foundation Dental Partners Tennessee, P.C.

  • Dentist
  • Chattanooga, TN
National Provider Identifier
1578215547
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FOUNDATION DENTAL PARTNERS TENNESSEE, P.C.
Practice address
7030 Lee Hwy Ste 101
Chattanooga, TN 37421-6795
Phone
(423) 855-5577
NPI assigned
Jan 21, 2022
Last updated
Jan 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Ben Cutler
Title
VP
Phone
(607) 743-9474

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary
Endodontics 1223E0200X
General Practice Dentistry 1223G0001X
Periodontics 1223P0300X
Oral and Maxillofacial Surgery (Dentist) 1223S0112X

Addresses

Primary practice location

7030 Lee Hwy Ste 101
Chattanooga, TN 37421-6795

Mailing address

296 S Main St Ste 300
Alpharetta, GA 30009-1973
Phone (607) 743-9474

National Provider Directory

National Provider Directory

Locations

7030 Lee Hwy
Ste 101
Chattanooga, TN 37421
Phone (423) 855-5577

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1578215547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 S MAIN ST STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091973",
            "telephone_number": "607-743-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 LEE HWY STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216795",
            "telephone_number": "423-855-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION DENTAL PARTNERS TENNESSEE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "CUTLER",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "607-743-9474"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 21, 2022; 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.