Childress, Roger William

Childress, Roger William is an individual health care provider with primary practice located at 1350 Mackey Branch Drive Suite 110, Chattanooga TN 37421. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Childress, Roger William can be contacted via phone (423) 296-8210.

Contact Information

Primary practice address
1350 Mackey Branch Drive Suite 110 Chattanooga TN 37421
Phone: (423) 296-8210
Fax: (423) 296-8292
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS5132 Tennessee
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X MS34149 Tennessee

Profile Details

NPI number 1467430538
LBN Legal business name Childress, Roger William
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 28th, 2010 - about 15 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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