Provider Demographics
NPI:1194890210
Name:CHANGAS, GEORGE ANTHONY II (DDS)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ANTHONY
Last Name:CHANGAS
Suffix:II
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 1:7109 AFTON DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-5711
Mailing Address - Country:US
Mailing Address - Phone:865-922-2101
Mailing Address - Fax:
Practice Address - Street 1:7109 AFTON DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-5711
Practice Address - Country:US
Practice Address - Phone:865-922-2101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2173122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist