NPI Code Details Logo

NPI 1114843497

NPI 1114843497 : CHRISTIAN GIRARD DMD : GREENEVILLE, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1114843497
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CHRISTIAN GIRARD DMD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/29/2026
-----------------------------------------------------
    Last Update Date     |    07/04/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2800 E ANDREW JOHNSON HWY 
-----------------------------------------------------
    City                 |    GREENEVILLE
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37745-0956
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    423-278-5019
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3270 OLD STATE ROUTE 34 
-----------------------------------------------------
    City                 |    LIMESTONE
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37681
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    470-201-0346
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1223G0001X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Dentistry
-----------------------------------------------------
    License Number       |    13145
-----------------------------------------------------
    License Number State |    TN
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.