Southeastern Dental Associates of Soddy Daisy
Southeastern Dental Associates of Soddy Daisy provides Dentist services in Soddy Daisy, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.
- Licensed in
- TN
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
11246 Dayton PikeSoddy Daisy, TN 37379
Phone: (423) 332-0500
Fax: (423) 332-0920
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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 |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 8527 (TN) |
Record details
| NPI number | 1790821148 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nicholas Bowman — President · (423) 332-0500 |
| NPI enumerated | January 30, 2007 |
| Last updated in NPPES | July 2, 2026 |
| Certification date | July 2, 2026 |
| Mailing address | 11246 Dayton Pike, Soddy Daisy, TN 37379 |