Individual
DR. MICHAEL THOMAS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
6102 SHALLOWFORD RD STE 101, CHATTANOOGA, TN 37421
(423) 499-9300
(423) 499-9746
Mailing address
6102 SHALLOWFORD RD STE 101, CHATTANOOGA, TN 37421-1684
(423) 499-9300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9521
NC
1223G0001X
General Practice Dentistry
Primary
10691
TN
Other
Enumeration date
05/26/2013
Last updated
05/18/2018
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