Individual provider · Type 1 NPI

Simon Chanin

Orthodontics and Dentofacial Orthopedics Dentistry · Bartlett, TN

NPI number 1083124184 Active

Practice location

3071 Kirby Whitten Rd
Bartlett, TN 38134-2822

Mailing address

137 E Ge Patterson Ave Apt 102
Memphis, TN 38103-4500

Other practice locations

  • 2730 SW Moody Ave, Department Of Orthodontics, Portland, OR 97201 · (503) 494-8921
  • 2730 SW Moody Ave, Department Of Orthodontics, Portland, OR 97201 · (503) 494-8921

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X00000 (OR)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDS0000011186 (TN)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1083124184

Simon Chanin's National Provider Identifier is 1083124184, issued on Oct 3, 2017. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Bartlett, TN. The record was last updated on Nov 27, 2023.