Provider Demographics
NPI:1518577402
Name:CHAVANA, MEGAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:CHAVANA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 BLAKEMORE AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-3505
Mailing Address - Country:US
Mailing Address - Phone:361-553-9607
Mailing Address - Fax:
Practice Address - Street 1:2125 BLAKEMORE AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-3505
Practice Address - Country:US
Practice Address - Phone:615-383-3690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11415122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist