Provider Demographics
NPI:1275659310
Name:IRELAND, MICHELLE FINCHER (DMD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:FINCHER
Last Name:IRELAND
Suffix:
Gender:F
Credentials:DMD
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 717
Mailing Address - Street 2:
Mailing Address - City:BALL GROUND
Mailing Address - State:GA
Mailing Address - Zip Code:30107-0717
Mailing Address - Country:US
Mailing Address - Phone:678-845-0366
Mailing Address - Fax:678-845-0369
Practice Address - Street 1:6120 SHALLOWFORD RD
Practice Address - Street 2:STE.108
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-7215
Practice Address - Country:US
Practice Address - Phone:423-485-1213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL46331223P0700X
TN72661223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics