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

Orange Grove Center, Inc

Organization General Practice Dentistry · NPI 1073668653

Orange Grove Center, Inc is a General Practice Dentistry in Chattanooga, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

615 Derby St
Chattanooga, TN 37404-1632
Phone: (423) 493-2905
Fax: (423) 493-2950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 26723 (TN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 8686 (TN)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 13774 (TN)

Record details

NPI number1073668653
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOrange Grove Center, Inc
Authorized official Tera Roberts — Ceo · (423) 493-2910
Other names Orange Grove Center Primary Health Care Services
NPI enumeratedJanuary 24, 2007
Last updated in NPPESMarch 4, 2024
Certification dateFebruary 22, 2024
Mailing address615 Derby St, Attention: Health Informatics & Reimbursement, Chattanooga, TN 37404-1632

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