Most Relevant Information
Provider Data
| NPI Number: | 1003407461 |
| Provider Name: | CARLTON BASKIN DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 11459 |
Most Important Dates
| Enumeration Date: | 01/28/2021 |
| Last Updated: | 01/28/2021 |
Provider Practice Location
4727 BRAINERD RD
CHATTANOOGA
TN
374113847
Practice Location Phone/Fax
| Phone: | 4236224869 |
| Fax: |
Provider Mailing Location
208 INTEGRA VISTAS DR APT 312
HIXSON
TN
373435450
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |