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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ROGER WILLIAM CHILDRESS, DDS, MD

Active

Oral & Maxillofacial Surgery · CHATTANOOGA, TN

Registration Details

NPI Number
1467430538
Provider Type
Individual
Gender
Male
NPI Issued
Jan 9, 2006 (20.281552583039 yrs)
Last Updated
Jul 28, 2010
Licenses
DS5132 (TN)
MS34149 (TN)

Practice Information

Address
1350 MACKEY BRANCH DRIVE
SUITE 110
CHATTANOOGA, TN, 37421
Browse TN providers · Browse ZIP 37421
Phone
4232968210
Fax
4232968292
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in CHATTANOOGA, TN

Name Credential NPI
DR. DAVID PATRICK MCDONALD D.M.D. 1689663692
DR. WILLIAM DAVID FOX DDS 1720037500
DR. IVO AARON MILLER D.D.S 1538230404
THOMAS R COOK III D.M.D, M.D 1265564660
DR. BRANDON K. CANNON D.D.S. 1740417583
BRANDON CAYLE STANLEY D.M.D. 1386954295
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.