Provider Demographics
NPI:1477549178
Name:DON F FLANAGAN DDS MS PC
Entity Type:Organization
Organization Name:DON F FLANAGAN DDS MS PC
Other - Org Name:TENNESSEE VALLEY ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCI
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:RAINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-877-1286
Mailing Address - Street 1:1005 EXECUTIVE DRIVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-3987
Mailing Address - Country:US
Mailing Address - Phone:423-877-1286
Mailing Address - Fax:423-877-1290
Practice Address - Street 1:1005 EXECUTIVE DR
Practice Address - Street 2:SUITE 105
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-7903
Practice Address - Country:US
Practice Address - Phone:423-877-1286
Practice Address - Fax:423-877-1290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-27
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS19181223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7214Medicaid