National Provider Identifier Database

PROFESSIONAL MEDICAL PROPERTIES LLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

PROFESSIONAL MEDICAL PROPERTIES, LLC
6015 SHALLOWFORD ROAD
CHATTANOOGA, TN37421-1688
Phone: 423-954-9180
Fax: 423-954-3054
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for PROFESSIONAL MEDICAL PROPERTIES, LLC

NPI Number 1700970407
Legal business name
LBN
PROFESSIONAL MEDICAL PROPERTIES, LLC
Authorized official WAYNE TIPPS - (PRESIDENT/PARTNER)
Entity Organization
Organization subpart No
Enumeration date 10/03/2006
Last updated 04/04/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 1224
  • TN Medicaid: 3287837

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.

Reviews for PROFESSIONAL MEDICAL PROPERTIES, LLC

There are currently no reviews for PROFESSIONAL MEDICAL PROPERTIES, LLC


NPIdb - Home
v2.201