SFDG, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

TN7970 Issued in TN

Legal business name

SFDG, LLC

Practice address

6101 Shallowford Rd Ste 103
Chattanooga, TN 37421-7802

Phone

(423) 892-4477

Fax

(423) 892-4229

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles Victor Ankar, D.D.S.NPI 1861517435

Title

Owner

Phone

(423) 892-4477

Specialties & licenses 1

Addresses

Other names 1

• SHALLOWFORD FAMILY DENTAL GROUP Other name

Locations

Practitioners 2

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

• Charles Victor Ankar, D.D.S.

  • General Practice Dentistry
  • Chattanooga, TN
  • NPI 1861517435
  NPD (past) Authorized official
• Tom M Gardenhire Jr., D.D.S.

  • General Practice Dentistry
  • Chattanooga, TN
  • NPI 1114042793
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821161969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 SHALLOWFORD RD STE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217802",
            "telephone_number": "423-892-4477",
            "fax_number": "423-892-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 SHALLOWFORD RD STE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217802",
            "telephone_number": "423-892-4477",
            "fax_number": "423-892-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SFDG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANKAR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-892-4477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "TN7970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHALLOWFORD FAMILY DENTAL GROUP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lamisha Sexton
• Sherry L. Sexton, FNP
• Victoria Shannon Sexton
• April Lyn Seymour, LPC-MHSP
• William Gregory Seymour, LPC-MHSP
• Steven Randolph Shadix, M.D.
• Amanda Beth Shafer, PA-C
• Arif Shafi, M.D.
• Shah Pediatric Dentistry, PLLC
• Chetan Dineshbhai Shah, MD

• 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 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.