Provider Demographics
NPI:1033323423
Name:AIKEN, ROBERT ABERNATHY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ABERNATHY
Last Name:AIKEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 TIKTIN
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415
Mailing Address - Country:US
Mailing Address - Phone:423-877-6693
Mailing Address - Fax:423-510-9727
Practice Address - Street 1:1620 GUNBARREL RD
Practice Address - Street 2:SUITE 204
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421
Practice Address - Country:US
Practice Address - Phone:423-894-7308
Practice Address - Fax:423-510-9727
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS003796122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist