Provider Demographics
NPI:1144914110
Name:UNFRIED, CHANDLER BETH (DMD)
Entity type:Individual
Prefix:DR
First Name:CHANDLER
Middle Name:BETH
Last Name:UNFRIED
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 HILLSBORO PIKE APT 306
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2798
Mailing Address - Country:US
Mailing Address - Phone:270-839-7448
Mailing Address - Fax:
Practice Address - Street 1:574 W SAM RIDLEY PKWY
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-5621
Practice Address - Country:US
Practice Address - Phone:615-488-1151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN122431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty