Chadwick Hagan Porter in Lebanon - General Practice

Chadwick Hagan Porter - NPI 1629265640

Chadwick Hagan Porter is a General Practice in Lebanon, Tennessee. Chadwick Hagan Porter practices all healthcare services and medical treatments related to General Practice. The NPI Number for Chadwick Hagan Porter is 1629265640. The last update date is 2013-07-12.

Chadwick Hagan Porter's current location address is 1633 W Main St # 200, Lebanon, Tennessee. You can contact this provider via phone number 6154493222 and fax number 6154493202. The mailing address for Chadwick Hagan Porter is 1633 W Main St # 200, Lebanon, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Chadwick Hagan Porter
Address 1633 W Main St # 200, Lebanon, Tennessee
Phone Number 6154493222
Fax Number 6154493202
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1629265640
Provider Enumeration Date 2007-10-03
Last Updated Date 2013-07-12

Provider Mailing Address Detail

Address 1633 W Main St # 200
City Lebanon
State Tennessee (TN)
Post Code 370873423
Phone Number 6154493222
Fax Number 6154493202

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 8678
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1501181 TN --

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FAQs about Chadwick Hagan Porter

What is the unique 10-digit identification code issued to Chadwick Hagan Porter by the Centers for Medicare & Medicaid Services?

The Chadwick Hagan Porter has been assigned the NPI (National Provider Identifier) 1629265640 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Chadwick Hagan Porter's physical address?

The Chadwick Hagan Porter is physically located at 1633 W Main St # 200, in the city of Lebanon, TN, with the postal code 370873423.

What is the Chadwick Hagan Porter's area of specialization and corresponding taxonomy classification?

The Chadwick Hagan Porter's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date did the Chadwick Hagan Porter receive the assignment of its 1629265640 from the Centers for Medicare & Medicaid Services?

The Chadwick Hagan Porter was issued its 1629265640 by the Centers for Medicare & Medicaid Services on 2007-10-03.

When was the information pertaining to Chadwick Hagan Porter most recently updated or revised?

The details related to Chadwick Hagan Porter, including its address, specialty, and other relevant information, were last updated or revised on 2013-07-12.

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