Professional Dental Alliance of Tennessee, PLLC
NPI 1730725953ActiveOrganization· Dentist, General Practice· Chattanooga, TN
Dentist, General Practice in Chattanooga, Tennessee, registered in NPPES in November 2019. The authorized official on file is Erica Quinteros, Credentialing Specialist.
Overview
| NPI | 1730725953 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 22, 2019 |
| Last updated in NPPES | Jan 15, 2025 |
| Certified by provider | Jan 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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