Provider Demographics
NPI:1285244087
Name:PEAK FAMILY DENTISTRY PLLC
Entity type:Organization
Organization Name:PEAK FAMILY DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:CATHEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:731-697-2455
Mailing Address - Street 1:207 EVENINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-5010
Mailing Address - Country:US
Mailing Address - Phone:731-697-2455
Mailing Address - Fax:
Practice Address - Street 1:4933 BRAINERD RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-3902
Practice Address - Country:US
Practice Address - Phone:423-899-1948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental