Search › Tennessee › 1223G0001X
James Fedusenko, D.D.S
NPI 1518318781 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3326 Jenkins Rd Ste 103
Chattanooga, TN 37421 - Phone
- (423) 521-1984
- Organisation at this address
- Shah Pediatric Dentistry, Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee