Individual
DR. HARRY MANFRED SUEKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3500 RINGGOLD RD, SUITE 1, CHATTANOOGA, TN 37412-1271
(423) 698-8651
(423) 698-4692
Mailing address
3500 RINGGOLD RD, SUITE 1, CHATTANOOGA, TN 37412-1271
(423) 698-8651
(423) 698-4692
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901015953
MI
122300000X
Dentist
57093
CA
122300000X
Dentist
Primary
DS0000008664
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15953
DELTA DENTAL
MI
01
—
159530
BC/BS DENTAL
MI
01
—
1951560080
BC/BS MEDICAL
MI
01
—
26-2420642
FED TAX ID
TN
01
—
38-3340423
FED TAX ID #
MI
Enumeration date
08/05/2006
Last updated
06/30/2008
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