Provider Demographics
NPI:1578453841
Name:NEASE, CAREY JOSEPH JR (DDS)
Entity type:Individual
Prefix:DR
First Name:CAREY
Middle Name:JOSEPH
Last Name:NEASE
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1364 DISTRICT LN APT 228
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37406-1908
Mailing Address - Country:US
Mailing Address - Phone:706-490-4919
Mailing Address - Fax:
Practice Address - Street 1:17 PARKWAY DR
Practice Address - Street 2:
Practice Address - City:FORT OGLETHORPE
Practice Address - State:GA
Practice Address - Zip Code:30742-4249
Practice Address - Country:US
Practice Address - Phone:706-944-3122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN1239341223G0001X
TN12941122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist