NPI 1790252211 · live from the CMS NPI Registry
Aeb Dental PLLC
Dentist, General Practice in Hixson, TN. National Provider Identifier 1790252211, active.
NPI record
| NPI | 1790252211 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 5550 Highway 153 Ste 100, Hixson, TN 37343 |
| Practice phone | 423-875-2626 |
| Mailing address | Po Box 70887, Cleveland, OH 44190 |
| Enumerated | November 2, 2018 |
| Last updated | June 13, 2023 |
| Authorized official | Ashley Boling, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.