Healthcare Provider Details

I. General information

NPI: 1619813896
Provider Name (Legal Business Name): WILLIAM A. HENSLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4843 HIXSON PIKE
HIXSON TN
37343-4478
US

IV. Provider business mailing address

4843 HIXSON PIKE STE C
HIXSON TN
37343-4478
US

V. Phone/Fax

Practice location:
  • Phone: 423-875-0240
  • Fax: 423-875-9702
Mailing address:
  • Phone: 423-875-0240
  • Fax: 423-875-9702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM A HENSLEY
Title or Position: OWNER
Credential: DDS
Phone: 423-875-0240