Individual
DR. PAUL WILBUR GERHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
763 WALNUT KNOLL LN STE 1, CORDOVA, TN 38018-8858
(901) 758-6400
Mailing address
2380 LINKENHOLT DR, COLLIERVILLE, TN 38017-8821
(901) 850-8564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
013843
MO
1223G0001X
General Practice Dentistry
0401008150
VA
1223G0001X
General Practice Dentistry
Primary
DS0000008486
TN
Other
Enumeration date
01/24/2006
Last updated
04/08/2009
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