Individual
TOM M GARDENHIRE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6101 SHALLOWFORD RD, STE. 103, CHATTANOOGA, TN 37421-7802
(423) 892-4477
(423) 892-4229
Mailing address
6101 SHALLOWFORD RD, STE. 103, CHATTANOOGA, TN 37421-7802
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4020
TN
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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