Roger William Childress in Chattanooga - Oral And Maxillofacial Surgery
Roger William Childress - NPI 1467430538
Roger William Childress is a Oral And Maxillofacial Surgery in Chattanooga, Tennessee. Roger William Childress practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Roger William Childress is 1467430538. The last update date is 2010-07-28.
Roger William Childress's current location address is 1350 Mackey Branch Drive, Chattanooga, Tennessee. You can contact this provider via phone number 4232968210 and fax number 4232968292. The mailing address for Roger William Childress is 1350 Mackey Branch Drive, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger William Childress |
|---|---|
| Address | 1350 Mackey Branch Drive, Chattanooga, Tennessee |
| Phone Number | 4232968210 |
| Fax Number | 4232968292 |
| Sole Proprietor | N |
| Credentials | DDS, MD |
NPI Number Detail
| NPI Number | 1467430538 |
|---|---|
| Provider Enumeration Date | 2006-01-09 |
| Last Updated Date | 2010-07-28 |
Provider Mailing Address Detail
| Address | 1350 Mackey Branch Drive |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 37421 |
| Phone Number | 4232968210 |
| Fax Number | 4232968292 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DS5132 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Roger William Childress by the Centers for Medicare & Medicaid Services?
The Roger William Childress has been issued the NPI (National Provider Identifier) 1467430538 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Roger William Childress is located?
The Roger William Childress is situated at the following address: 1350 Mackey Branch Drive, Chattanooga, TN, 37421.
What is Roger William Childress's specialized field of practice, and what is the corresponding taxonomy classification code?
The Roger William Childress's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
When was the Roger William Childress's 1467430538 issued?
The Roger William Childress's 1467430538 was issued on 2006-01-09.
When was the information pertaining to Roger William Childress most recently updated or revised?
The details related to Roger William Childress, including its address, specialty, and other relevant information, were last updated or revised on 2010-07-28.
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