Individual
DR. MICHAEL DOUGLAS REARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2315 HICKORY VALLEY RD, CHATTANOOGA, TN 37421-1723
(423) 894-1029
Mailing address
2315 HICKORY VALLEY RD, CHATTANOOGA, TN 37421-1723
(423) 894-1029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8689
TN
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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