Ewing Jackson Threet Ii is a Chattanooga, Tennessee based Dentist with
9 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.
| Name: | Ewing Jackson Threet Ii |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Experience: | 9+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2017 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 7333 Shallowford Rd, Chattanooga,
Tennessee, 37421-2627 |
| Phone: | 276-632-2634 |
Professional Identification Codes:
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 |
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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.