Provider Demographics
NPI:1083605000
Name:EDWARDS, CHAD OLIVER (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:OLIVER
Last Name:EDWARDS
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 1:3046 COLUMBIA AVE
Mailing Address - Street 2:STE. 201
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-7429
Mailing Address - Country:US
Mailing Address - Phone:615-595-8070
Mailing Address - Fax:615-595-1832
Practice Address - Street 1:3046 COLUMBIA AVE
Practice Address - Street 2:STE. 201
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-7429
Practice Address - Country:US
Practice Address - Phone:615-595-8070
Practice Address - Fax:615-595-1832
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7876122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist