Organization
EMERALD DENTAL PLLC
Active
Other names
Emerald Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL GARDNER D.D.S. (DENTIST)
(423) 308-5597
Entity
Organization
Contact information
Practice address
1515 GUNBARREL RD STE 126, CHATTANOOGA, TN 37421-0001
(423) 308-5597
(423) 308-5598
Mailing address
1515 GUNBARREL RD STE 126, CHATTANOOGA, TN 37421-0001
(423) 308-5597
(423) 308-5598
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9300
TN
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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