Provider Demographics
NPI:1518037332
Name:FOLLIS, CHAD (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:
Last Name:FOLLIS
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 1:4085 MALLORY LN
Mailing Address - Street 2:SUITE 116
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8290
Mailing Address - Country:US
Mailing Address - Phone:615-771-1999
Mailing Address - Fax:615-271-9331
Practice Address - Street 1:4085 MALLORY LN
Practice Address - Street 2:SUITE 116
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8290
Practice Address - Country:US
Practice Address - Phone:615-771-1999
Practice Address - Fax:615-271-9331
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN76481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice