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Active NPI 1518318781 Individual Practitioner Male Practitioner

Dr. James Fedusenko , DDS

Dentist - General Practice • Chattanooga, TN

Professional Overview & Biography Verified Profile Summary

Dr. James Fedusenko, DDS is a registered healthcare professional specializing in Dentist - General Practice in Chattanooga, TN. Practice services are available at 3326 JENKINS RD STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3326 Jenkins Rd Ste 103

Chattanooga, TN 374211597

Telephone 4235211984

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chattanooga, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
118 Specialists

Practicing in Chattanooga, TN (2175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TN 10489

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 11, 2021

Registered at 3326 JENKINS RD STE 103, CHATTANOOGA, TN 374211597 (Tel: 4235211984)

📍
Updated Business Mailing Address January 11, 2021

Registered at 3326 JENKINS RD STE 103, CHATTANOOGA, TN 374211597 (Tel: 4235211984)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2021

Dentist (License #10489 in TN)

NPI Profile Active June 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2016

Registered at 11370 LAWRENCE WAY, LOMA LINDA, CA 923543887 (Tel: 4233643393)

📍
Updated Business Mailing Address June 28, 2016

Registered at 11370 LAWRENCE WAY, LOMA LINDA, CA 923543887 (Tel: 4233643393)

👤
Provider Name / Credentials Updated June 28, 2016

Recorded as JAMES FEDUSENKO, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 28, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518318781
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2016
Last Update: July 14, 2021
Sole Proprietor: Yes

Mailing Address

3326 Jenkins Rd Ste 103

Chattanooga, TN 374211597

Phone: 4235211984

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.