Provider Demographics
NPI:1548340425
Name:MINGES, ERNEST ALEXANDER (DDS)
Entity type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:ALEXANDER
Last Name:MINGES
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 1:4135 HIXSON PIKE
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-3111
Mailing Address - Country:US
Mailing Address - Phone:423-875-6782
Mailing Address - Fax:
Practice Address - Street 1:4135 HIXSON PIKE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-3111
Practice Address - Country:US
Practice Address - Phone:423-875-6782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0000004758122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist