Provider Demographics
NPI:1699297366
Name:CHESNEY DENTISTRY
Entity type:Organization
Organization Name:CHESNEY DENTISTRY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-966-7441
Mailing Address - Street 1:111 LOUDOUN RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-2942
Mailing Address - Country:US
Mailing Address - Phone:865-966-7441
Mailing Address - Fax:865-966-4011
Practice Address - Street 1:111 LOUDOUN RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-2942
Practice Address - Country:US
Practice Address - Phone:865-966-7441
Practice Address - Fax:865-966-4011
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GARY CHESNEY, DDS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS4180122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty