Provider Demographics
NPI:1619083037
Name:HUTCHISON, CHAD RANDALL (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:RANDALL
Last Name:HUTCHISON
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 1:342 COOL SPRINGS BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7213
Mailing Address - Country:US
Mailing Address - Phone:615-790-8494
Mailing Address - Fax:615-790-4931
Practice Address - Street 1:342 COOL SPRINGS BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-7213
Practice Address - Country:US
Practice Address - Phone:615-790-8494
Practice Address - Fax:615-790-4931
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS8083122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist