Cheatham, David R

Cheatham, David R is an individual health care provider with primary practice located at 1754 Madison St Suite 4, Clarksville TN 37043-2923. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Cheatham, David R can be contacted via phone (931) 647-0838.

Contact Information

Primary practice address
1754 Madison St Suite 4 Clarksville TN 37043-2923
Phone: (931) 647-0838
Fax: (931) 648-3840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DS4516 Tennessee

Profile Details

NPI number 1942292370
LBN Legal business name Cheatham, David R
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942292370 NPPES
Tennessee Other 0123261 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 3225441 BLUE CROSS BLUE SHIELD

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