Provider Demographics
NPI:1043478720
Name:CLINE, ADAM CRAIG (DDS)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:CRAIG
Last Name:CLINE
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:PO BOX 91527
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37412-6527
Mailing Address - Country:US
Mailing Address - Phone:423-499-9300
Mailing Address - Fax:423-499-9746
Practice Address - Street 1:1011 SPRING CREEK RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37412-3970
Practice Address - Country:US
Practice Address - Phone:423-499-9300
Practice Address - Fax:423-499-9746
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN88291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice