Provider Demographics
NPI:1386332732
Name:MAUNEY, CHLOE MERIWETHER (DDS, MDS)
Entity type:Individual
Prefix:DR
First Name:CHLOE
Middle Name:MERIWETHER
Last Name:MAUNEY
Suffix:
Gender:F
Credentials:DDS, MDS
Other - Prefix:DR
Other - First Name:CHLOE
Other - Middle Name:
Other - Last Name:MERIWETHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS, MDS
Mailing Address - Street 1:190 MURRAY GUARD DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-3609
Mailing Address - Country:US
Mailing Address - Phone:731-394-8356
Mailing Address - Fax:
Practice Address - Street 1:190 MURRAY GUARD DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-3609
Practice Address - Country:US
Practice Address - Phone:317-668-8922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000117161223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics