NPI 1083124184

Simon Chanin

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry Bartlett, TN

Practice location

Address: 3071 Kirby Whitten Rd, Bartlett, TN 38134-2822
Phone: (901) 382-1564
Mailing address: 137 E Ge Patterson Ave APT 102, Memphis, TN 38103-4500

Registered specialties (2)

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence DS0000011186 (TN)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X Licence 00000 (OR)

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Registry record

NPI: 1083124184
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2017
Record last updated: 27 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.