Healthcare Provider Details

I. General information

NPI: 1326037623
Provider Name (Legal Business Name): CHAD STEVEN ESLINGER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 05/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 STUART XING NE
CLEVELAND TN
37312-4065
US

IV. Provider business mailing address

150 STUART XING NE
CLEVELAND TN
37312-4065
US

V. Phone/Fax

Practice location:
  • Phone: 423-476-2160
  • Fax: 423-476-2680
Mailing address:
  • Phone: 423-476-2160
  • Fax: 423-476-2680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number7763
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number14510
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: