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JOHN A SPANN, DDS – NPI #1578566519
Oral & Maxillofacial Surgery

NPI Profile for Dr JOHN A SPANN in CHATTANOOGA, TN.

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Contact Information

JOHN A SPANN, DDS
6015 SHALLOWFORD ROAD
CHATTANOOGA, TN  37421-1688
 Phone: 423-893-3333
 Fax: 423-954-3054
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

 204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN A SPANN · (Male)

NPI # 1578566519
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/23/2005
Last updated 07/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 07279
  • TN Medicaid 3226438
  • TN Other 7745039 AETNA PROVIDER NUMBER
  • TN Other 3125604 BCBSTN PROVIDER NUMBER
Hospital affiliation(s)
  • MEMORIAL HEALTHCARE SYSTEM INC - (Acute Care)
    2525 DESALES AVE
    CHATTANOOGA, TN 37404
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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