Childress, Robert Lloyd

Childress, Robert Lloyd is an individual health care provider with primary practice located at 1240 Mcarthur St , Manchester TN 37355-2445. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Childress, Robert Lloyd can be contacted via phone (931) 728-3501.

Contact Information

Primary practice address
1240 Mcarthur St Manchester TN 37355-2445
Phone: (931) 728-3501
Fax: (931) 728-3554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 8183 Tennessee

Profile Details

NPI number 1942422969
LBN Legal business name Childress, Robert Lloyd
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942422969 NPPES
Other 4123252 BC BS OF TN

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