Individual
DR. JAMES FEDUSENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3326 JENKINS RD STE 103, CHATTANOOGA, TN 37421-1597
(423) 521-1984
Mailing address
3326 JENKINS RD STE 103, CHATTANOOGA, TN 37421-1597
(423) 521-1984
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10489
TN
Other
Enumeration date
06/28/2016
Last updated
07/14/2021
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