Search › Tennessee › 1223X0400X
Simon Chanin
NPI 1083124184 · on the registry since 2017
Practice
- Address
- 3071 Kirby Whitten Rd
Bartlett, TN 38134 - Phone
- (901) 382-1564
- Organisation at this address
- Bartlett Pediatric Dentistry
Timothy P. Bakelaar, D.M.D, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 2730 Sw Moody Ave, Portland, OR
- 2730 Sw Moody Ave, Portland, OR
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Also registered as
- 390200000X
- Licence states on file
- OR, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee