Healthcare Provider Details

I. General information

NPI: 1689465957
Provider Name (Legal Business Name): BETSY HENSON DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 RIVERFRONT PKWY STE 102
CHATTANOOGA TN
37402-2185
US

IV. Provider business mailing address

600 W BROW RD
LOOKOUT MOUNTAIN TN
37350-1118
US

V. Phone/Fax

Practice location:
  • Phone: 423-756-2450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number13045
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: