Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael J Revenig DDS, Glenn D. Wilson DDS, PLLC

Organization General Practice Dentistry · NPI 1821420464

Michael J Revenig DDS, Glenn D. Wilson DDS, PLLC provides General Practice Dentistry in Chattanooga, Tennessee. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4601 Brainerd Rd
Chattanooga, TN 37411-3826 Not confirmed with CMS for 13 years — call before visiting
Phone: (423) 698-6005
Fax: (423) 698-6410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1821420464
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Revenig — Owner'S Wife · (423) 698-6005
NPI enumeratedAugust 6, 2013
Last updated in NPPESAugust 6, 2013
Mailing address4601 Brainerd Rd, Chattanooga, TN 37411-3826

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