Organization
GREATER CHATTANOOGA ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ALDRIDGE DMD, MS (PRESIDENT)
(423) 296-0407
Entity
Organization
Contact information
Practice address
1829 GUNBARREL RD, SUITE A, CHATTANOOGA, TN 37421-7184
(423) 296-0407
(423) 296-0174
Mailing address
PO BOX 28047, CHATTANOOGA, TN 37424-8047
(423) 296-0407
(423) 296-0174
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9431
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003140827A
—
GA
05
—
Q007710
—
TN
Enumeration date
01/13/2016
Last updated
01/13/2016
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