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General NPI Number Information
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NPI Number | 1699297366
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Entity Type | Organization
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Legal Business Name | CHESNEY DENTISTRY
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 111 LOUDOUN RD
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City | KNOXVILLE
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State | TN
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Zip | 37934-2942
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Country | US
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Telephone | 865-966-7441
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Fax | 865-966-4011
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Provider Business Mailing Address
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Address Line | 111 LOUDOUN RD
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City | KNOXVILLE
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State | TN
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Zip | 37934-2942
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Country | US
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Telephone | 865-966-7441
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Fax | 865-966-4011
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TERESA FOSTER
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Credential |
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Telephone | 865-966-7441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS4180
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License Number State | TN
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