Simon Chanin
Simon Chanin is a Student in an Organized Health Care Education/Training Program in Bartlett, Tennessee. Works from 3 locations. Licensed in Oregon and Tennessee.
- Licensed in
- OR, TN
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
Bartlett, TNNo coordinates on file. Search this address in Google Maps
Additional practice locations (2)
- 2730 Sw Moody Ave, Portland, OR 97201 — (503) 494-8921
- 2730 Sw Moody Ave, Portland, OR 97201 — (503) 494-8921
Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X · Licence DS0000011186 (TN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 00000 (OR) |
Record details
| NPI number | 1083124184 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 3, 2017 |
| Last updated in NPPES | November 27, 2023 |
| Certification date | March 16, 2020 |
Other providers in Bartlett
-
Lacey Grace Conley
Student / training record Bartlett, TN
-
Elizabeth Laudelina Eshun
Student / training record Bartlett, TN
-
Rylee Hertter
Student / training record Bartlett, TN
-
Concetta Caterina Mazzone
Student / training record Bartlett, TN