Provider Demographics
NPI:1427049634
Name:CHATMAN, SARAH M (DDS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:CHATMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MINOR
Other - Last Name:CHATMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 2683
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38302
Mailing Address - Country:US
Mailing Address - Phone:731-424-8242
Mailing Address - Fax:731-424-0063
Practice Address - Street 1:504 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-4825
Practice Address - Country:US
Practice Address - Phone:731-424-8242
Practice Address - Fax:731-424-0063
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0000004889122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0005125OtherDORAL DENTAL TRICARE
TN3225544Medicaid
TN0090921MOOtherBCBS