Provider Demographics
NPI:1609101823
Name:BUHL, HENRY CLAYTON (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:CLAYTON
Last Name:BUHL
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4355 HIGHWAY 58
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37416-2939
Mailing Address - Country:US
Mailing Address - Phone:423-899-5011
Mailing Address - Fax:423-899-2070
Practice Address - Street 1:4355 HIGHWAY 58
Practice Address - Street 2:SUITE 110
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37416-2939
Practice Address - Country:US
Practice Address - Phone:423-899-5011
Practice Address - Fax:423-899-2070
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25331223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics