Provider Demographics
NPI:1326037623
Name:ESLINGER, CHAD STEVEN (DDS)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:STEVEN
Last Name:ESLINGER
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 1:150 STUART XING NE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-4065
Mailing Address - Country:US
Mailing Address - Phone:423-476-2160
Mailing Address - Fax:423-476-2680
Practice Address - Street 1:150 STUART XING NE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-4065
Practice Address - Country:US
Practice Address - Phone:423-476-2160
Practice Address - Fax:423-476-2680
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN77631223P0221X
GA145101223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3206748Medicaid