Organization
REX E RADER JR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REX E RADER JR. DDS (PRESIDENT)
(423) 629-6015
Entity
Organization
Contact information
Practice address
3825 RINGGOLD RD, CHATTANOOGA, TN 37412-1639
(423) 629-6015
(423) 629-6015
Mailing address
3825 RINGGOLD RD, CHATTANOOGA, TN 37412-1639
(423) 629-6015
(423) 629-6015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS2852
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS2852
DIV OF HEALTH RELATED B
TN
Enumeration date
10/27/2006
Last updated
08/22/2020
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