DR. DAVID R CHEATHAM D.D.S. M.S. NPI 1942292370

NPI Information

NPI: 1942292370
Provider Name: DR. DAVID R CHEATHAM, D.D.S., M.S.
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
1754 MADISON ST
SUITE 4
CLARKSVILLE, TN
ZIP 37043
Phone: (931) 647-0838
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DR. David R Cheatham, D.D.S., M.S. is a pediatric dentistry dentist in Clarksville, TN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. David R Cheatham, D.D.S., M.S. NPI is 1942292370. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1754 MADISON ST
SUITE 4
CLARKSVILLE, TN
ZIP 37043-923
Phone: (931) 647-0838
Fax: (931) 648-3840

The enumeration date for this NPI number is 8/22/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	DS4516	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3225441	MEDICAID	TENNESSEE
2	0123261	OTHER	TENNESSEE	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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