Periodontal Associates Of Chattanooga, Pa

NPI 1063562460 - Dentist - 1223P0300X

NPI Details
NPI 1063562460
Enumeration Date 01/10/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLES BAKER CHARLES
Position PRESIDENT
Phone (423) 756-2450
Fax (423) 756-5451
Practice Location
102 WALNUT ST
CHATTANOOGA TN, 37403-1121, US
Phone (423) 756-2450
Fax (423) 756-5451
Business Location
102 WALNUT ST
CHATTANOOGA TN, 37403-1121, US
Phone (423) 756-2450
Fax (423) 756-5451
Toxanomy
Taxonomy Code 1223P0300X
License State Tennessee
License Number DS3107
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According to our database, Periodontal Associates Of Chattanooga, Pa NPI is 1063562460, taxonomy code is 1223P0300X and license number is DS3107, license state is located at Tennessee. Periodontal Associates Of Chattanooga, Pa physically located at 102 Walnut St, Chattanooga TN, 37403-1121. NPI Number 1033115704 has the healthcare provider type.

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1063562460 NPI number is provided on an as is basis without warranty of any kind. 1063562460 is maintained by the National Plan & Provider Enumeration System. The contents of Periodontal Associates Of Chattanooga, Pa are for informational purposes only.