Provider Demographics
NPI:1265263321
Name:BINION, CHELSEY (RDA, RDH, BSDH)
Entity type:Individual
Prefix:
First Name:CHELSEY
Middle Name:
Last Name:BINION
Suffix:
Gender:F
Credentials:RDA, RDH, BSDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 WESTLAWN BLVD APT 325
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-1798
Mailing Address - Country:US
Mailing Address - Phone:585-309-0699
Mailing Address - Fax:
Practice Address - Street 1:160 MOVIE ROW
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6532
Practice Address - Country:US
Practice Address - Phone:615-930-9606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10587124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist