Individual
DR. PAUL HERMAN CARICO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
830 CHEROKEE BLVD, CHATTANOOGA CENTER FOR COMPREHENSIVE DENTISTRY, CHATTANOOGA, TN 37405
(423) 756-1540
(423) 756-3462
Mailing address
1007 CROWN PT RD EAST, SIGNAL MOUNTAIN, TN 37377
(423) 886-5135
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS002799
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002799
DELTA DENTAL
TN
01
—
2009060
BCBS
TN
Enumeration date
11/01/2006
Last updated
07/08/2007
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