Provider Demographics
NPI:1538853387
Name:COLE, CHANDLER ANN PETTY (DDS)
Entity type:Individual
Prefix:DR
First Name:CHANDLER
Middle Name:ANN PETTY
Last Name:COLE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:CHANDLER
Other - Middle Name:ANN
Other - Last Name:PETTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8916 MACAULEY LN
Mailing Address - Street 2:
Mailing Address - City:NOLENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37135-4013
Mailing Address - Country:US
Mailing Address - Phone:615-636-3782
Mailing Address - Fax:
Practice Address - Street 1:4020 HUGHES XING
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-1469
Practice Address - Country:US
Practice Address - Phone:615-435-3274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12226122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist