Provider Demographics
NPI:1295742617
Name:HUTCHESON, PHILLIP EARL (DDS)
Entity type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:EARL
Last Name:HUTCHESON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5120 VIRGINIA WAY
Mailing Address - Street 2:C-13
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7515
Mailing Address - Country:US
Mailing Address - Phone:615-371-8888
Mailing Address - Fax:615-371-8894
Practice Address - Street 1:5120 VIRGINIA WAY
Practice Address - Street 2:C-13
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7515
Practice Address - Country:US
Practice Address - Phone:615-371-8888
Practice Address - Fax:615-371-8894
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21821223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics