Healthcare Provider Details

I. General information

NPI: 1871424267
Provider Name (Legal Business Name): CHEW CHEW DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4841 HIXSON PIKE STE E
HIXSON TN
37343-4431
US

IV. Provider business mailing address

4841 HIXSON PIKE STE E
HIXSON TN
37343-4431
US

V. Phone/Fax

Practice location:
  • Phone: 423-877-7886
  • Fax: 423-654-8122
Mailing address:
  • Phone: 423-877-7886
  • Fax: 423-654-8122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: CHELSEA SOUTHERLAND SCHWIND
Title or Position: OWNER/DENTIST
Credential: DDS
Phone: 731-592-3132