Provider Demographics
NPI:1225479926
Name:COLE, JENNIFER FLANAGAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:FLANAGAN
Last Name:COLE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:TALBERT
Other - Last Name:FLANAGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:313 MANUFACTURERS RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-3274
Mailing Address - Country:US
Mailing Address - Phone:423-362-5437
Mailing Address - Fax:
Practice Address - Street 1:313 MANUFACTURERS RD
Practice Address - Street 2:SUITE 207
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37405-3274
Practice Address - Country:US
Practice Address - Phone:423-362-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9729122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist