DR. ROGER WILLIAM CHILDRESS


Address: 1350 Mackey Branch Drive, Suite 110, Chattanooga, TN 37421
Phone: 4232968210

DR. ROGER WILLIAM CHILDRESS (NPI# 1467430538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467430538
Entity Type Individual
Full Name DR. ROGER WILLIAM CHILDRESS
Credential DDS, MD
Practice Address 1350 Mackey Branch Drive
Suite 110
Chattanooga
TN 37421
Practice Telephone 4232968210
Practice Fax Number 4232968292
Mailing Telephone 4232968210
Mailing Fax Number 4232968292
Enumeration Date 2006-01-09
Last Update Date 2010-07-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
MS34149 TN Dental Providers
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DS5132 TN Dental Providers

Office Location

Street Address 1350 MACKEY BRANCH DRIVE
SUITE 110
City CHATTANOOGA
State TN
Zip Code 37421

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851691281 Childress & Meyer, Pllc Dentist 1350 Mackey Branch Drive, St. 110, Chattanooga, TN 37421-3482 2010-11-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558991588 Janera Pentiah Physician Assistant 1360 Mackey Branch Dr, Chattanooga, TN 37421 2020-01-17
1750921367 Stephan Ian Belasco Counselor 1360 Mackey Branch Dr., Chattanooga, TN 37421 2020-01-11
1932745817 Sound Living Inc Community/Behavioral Health 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 2019-11-26
1245875046 Chattanooga Compounding Pharmacy Inc. Pharmacy 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 2019-11-15
1083105803 Trauma and Addiction Recovery Center Counselor 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 2018-05-29
1497257448 Claude James Bowden Counselor 7372 Applegate Lane, Chattanooga, TN 37421 2018-03-06
1093213332 Preferred Primary Care Clinic/Center 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 2018-01-31
1124526777 Elizabeth Marie Wright Nurse Practitioner 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 2018-01-30
1477065712 Publix Tennessee LLC Durable Medical Equipment & Medical Supplies 7326 Mccutcheon Rd, Chattanooga, TN 37421 2017-10-26
1144746645 Mobility At Home LLC Contractor 6307 E Brainerd Rd, Chattanooga, TN 37421 2017-08-16
Find all providers in zip 37421

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720472855 Charles Baker Felts Iv Dentist 901 Riverfront Pkwy Ste 202, Chattanooga, TN 37402-2193 2015-03-26
1740417583 Brandon K. Cannon Dentist 2290 Ogletree Ave Ste 104, Chattanooga, TN 37421-8828 2009-06-19
1538230404 Ivo Aaron Miller Dentist 6015 Shallowford Rd, Chattanooga, TN 37421-1688 2006-11-13
1720037500 William David Fox Dentist 4110c Brainerd Rd, Chattanooga, TN 37411 2006-05-09
1679543912 East Tn Facial Surgery, Inc Dentist 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 2006-01-26
1356902639 Riverbend Oral Surgery, LLC Dentist 901 Riverfront Pkwy Ste 202, Chattanooga, TN 37402-2196 2019-06-26
1851691281 Childress & Meyer, Pllc Dentist 1350 Mackey Branch Drive, St. 110, Chattanooga, TN 37421-3482 2010-11-02
1124295480 Chattanooga Oral & Maxillofacial Surgery, Plc Dentist 1720 Gunbarrel Rd, Suite 200, Chattanooga, TN 37421-3192 2008-05-14
1265564660 Thomas R Cook IIi Dentist 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 2007-03-12
1689663692 David Patrick Mcdonald Dentist 1720 Gunbarrel Rd, Suite 200, Chattanooga, TN 37421-3192 2005-10-21
Find all providers in CHATTANOOGA

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City CHATTANOOGA
Zip Code 37421

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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