Search › Tennessee › 208D00000X
Charles Dietzen, MD
NPI 1417964248 · on the registry since 2006
Practice
- Address
- 4355 Highway 58
Suite 101
Chattanooga, TN 37416 - Phone
- (423) 892-4289
- Fax
- (423) 892-8301
- Organisation at this address
- Joseph A. Motto, Md
Mark S. Cowart, D.D.S. IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Also registered as
- 208D00000X
- Licence states on file
- TN, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee