Provider Demographics
NPI:1255895561
Name:CHATTANOOGA SLEEP & TMJ ASSOCIATES AT LUNN DENTISTRY PLLC
Entity type:Organization
Organization Name:CHATTANOOGA SLEEP & TMJ ASSOCIATES AT LUNN DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RILEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-892-5137
Mailing Address - Street 1:PO BOX 8569
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37414-0569
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5323 BRAINERD RD STE 106
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-5305
Practice Address - Country:US
Practice Address - Phone:423-892-5137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment