DR. PAUL GARDNER (NPI# 1619262102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619262102 |
| Entity Type | Individual |
| Full Name | DR. PAUL GARDNER |
| Credential | D.D.S. |
| Practice Address |
1515 Gunbarrel Rd Ste 126 Chattanooga TN 37421-4091 |
| Practice Telephone | 4233085597 |
| Practice Fax Number | 4233085598 |
| Mailing Telephone | 4233085597 |
| Mailing Fax Number | 4233085598 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2017-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9300 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558690487 | Paul Peder Gardner | Chiropractor | 5425 South Semoran Boulevard, Suite 6a, Orlando, FL 32822-1777 | 2009-12-24 |
| 1558415976 | Paul John Gardner | Psychologist | 5672 Oslo Lane, Paul Gardner, Park City, UT 84098 | 2007-01-23 |
| 1821012295 | Paul Jeffrey Gardner | Specialist/Technologist | 8720 Scarborough Dr, Liberty High School, Colorado Springs, CO 80920 | 2006-07-27 |
| 1427006972 | Paul Edward Gardner | Optometrist | 6859 East Genesee Street, Empire Vision Centers, Fayetteville, NY 13066 | 2006-05-05 |
| 1689048969 | Paul Gardner | Social Worker | 3272 Steinway St, Astoria, NY 11103-4182 | 2015-11-24 |
| 1053446641 | Paul Michael Gardner | Plastic Surgery | 1009 Crosspointe Dr, Suite 1, Naples, FL 34110-0930 | 2007-02-22 |
| 1407936271 | Paul A Gardner | Neurological Surgery | 200 Lothrop St, Puh - B400, Pittsburgh, PA 15213-2536 | 2006-10-16 |
| 1821012832 | Paul Kenneth Gardner | Neurological Surgery | 1055 N 300 W Ste 400, Provo, UT 84604-3359 | 2006-07-26 |
| 1114909439 | Paul Matthew Gardner | Physical Therapist | 2380 8th Ave, Suite 8, Plattsmouth, NE 68048-2367 | 2005-11-14 |
| Street Address |
1515 GUNBARREL RD STE 126 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-4091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073806766 | Michele Dillon | Physical Therapist | 1515 Gunbarrel Rd, Ste 129, Chattanooga, TN 37421-4091 | 2011-05-27 |
| 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 Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428893 | Davis Family Dental Care | Dentist | 7003 Shallowford Rd Ste 101, Chattanooga, TN 37421-6722 | 2019-10-10 |
| 1477112621 | Lawrence Songyuan Lu | Dentist | 1421 Armour St, Chattanooga, TN 37412-2812 | 2019-06-11 |
| 1548703945 | Emerald Dental Pllc | Dentist | 1515 Gunbarrel Rd Ste 126, Chattanooga, TN 37421-0001 | 2016-12-02 |
| 1316390206 | Andrea C Marable | Dentist | 8021 E Brainerd Rd, Chattanooga, TN 37421-3206 | 2016-07-15 |
| 1043662778 | Jesse Ellsworth | Dentist | 4972 Highway 58, Suite 114, Chattanooga, TN 37416-1867 | 2016-07-06 |
| 1053770800 | Alani Dental Center | Dentist | 1825 Gunbarrel Rd, Suite 400b, Chattanooga, TN 37421-3130 | 2016-02-22 |
| 1376902809 | Facial Dental Center, P.C. | Dentist | 1720 Gunbarrel Rd Ste 310, Chattanooga, TN 37421-3192 | 2016-02-11 |
| 1982008868 | Freeman C. Doster Dds | Dentist | 1001 Carter Street, Suite B, Chattanooga, TN 37402 | 2014-10-21 |
| 1497181903 | Nisha Bhanu Patel | Dentist | 7003 Shallowford Rd Ste 202, Chattanooga, TN 37421 | 2013-09-17 |
| 1225479926 | Jennifer Flanagan Cole | Dentist | 313 Manufacturers Rd, Suite 207, Chattanooga, TN 37405-3274 | 2013-07-10 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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| 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.