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NPI Code Detail

MEDICARE: DR. ROBERT ABERNATHY AIKEN DDS

MEDICARE:  DR. ROBERT ABERNATHY AIKEN  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDS003796TN

General Provider Information

NPI Number : 1033323423
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT ABERNATHY AIKEN DDS
Provider Business Mailing Address
First Line : 516 TIKTIN
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37415
Country : US
Telephone Number : 423-877-6693
Fax Number : 423-510-9727
Provider Business Practice Location Address
First Line : 1620 GUNBARREL RD
Second Line : SUITE 204
City : CHATTANOOGA
State : TN
Zip : 37421
Country : US
Telephone Number : 423-894-7308
Fax Number : 423-510-9727
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT ABERNATHY AIKEN DDS” Practice Location

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