Edgmon, Gary Martin

Edgmon, Gary Martin is an individual health care provider with primary practice located at 7003 Shallowford Rd Ste 201 , Chattanooga TN 37421. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Edgmon, Gary Martin can be contacted via phone (423) 541-1850.

Contact Information

Primary practice address
7003 Shallowford Rd Ste 201 Chattanooga TN 37421
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 09156 Georgia
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 10198 Tennessee

Profile Details

NPI number 1548332166
LBN Legal business name Edgmon, Gary Martin
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Mar 20th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548332166 NPPES
Tennessee MEDICAID Q045942
Tennessee MEDICAID Q046284
Tennessee MEDICAID 1376027862

Popular Providers