Ewing Jackson Threet Ii is a Chattanooga, Tennessee based Dentist with 8 years of experience in Dentistry. He completed his graduation from Other in 2017. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ewing Jackson Threet Ii is 10932 for Endodontics in Tennessee. His current practice location is 7333 Shallowford Rd, Chattanooga. Patients can reach him at 276-632-2634.
Ewing Jackson Threet Ii is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Ewing Jackson Threet Ii speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2062799109
Enrollment ID:
I20211105002174
NPI Number:
1164954582
NPI Enumeration Date:
03 Apr, 2017
NPI Last Update On:
31 Jul, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ewing Jackson Threet Ii are as mentioned below.
License Number
Specialization
State
Status
10932
Endodontics
Tennessee
Primary
0401417624
Dentistry
Virginia
Secondary
0401417624
Oral Medicinist
Virginia
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Ewing Jackson Threet Ii is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Carilion Medical Center (9830096585)
692
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS
He does not participate in the Physician Quality Reporting System Incentive Program.
EHR
He does not participate in the Electronic Health Record Incentive Program.
MHI
He does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
7333 Shallowford Rd, Chattanooga, Tennessee
Zip:
37421-2627
Patients can reach Ewing Jackson Threet Ii at 7333 Shallowford Rd, Chattanooga, Tennessee or can call to book an appointment on 276-632-2634. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.