NPI 1083124184 · live from the CMS NPI Registry
Simon Chanin
Dentist, Orthodontics and Dentofacial Orthopedics in Bartlett, TN. National Provider Identifier 1083124184, active.
NPI record
| NPI | 1083124184 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3071 Kirby Whitten Rd, Bartlett, TN 38134 |
| Practice phone | 901-382-1564 |
| Mailing address | 137 E Ge Patterson Ave Apt 102, Memphis, TN 38103 |
| Enumerated | October 3, 2017 |
| Last updated | November 27, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 00000 (OR) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DS0000011186 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.