Chad Tillman Couch
Chad Tillman Couch is a Student in an Organized Health Care Education/Training Program in Horn Lake, Mississippi. Licensed in Mississippi. Registered with an NPI since 2025.
- Licensed in
- MS
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
2154 Goodman Rd W # 1Horn Lake, MS 38637-1303
Phone: (662) 393-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 111252 (MS) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1528868015 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 14, 2025 |
| Last updated in NPPES | June 27, 2025 |
| Certification date | June 27, 2025 |
| Mailing address | 108 Henry Anna Ln, Bristol, TN 37620-3144 |
Other providers in Horn Lake
-
Julianne Andrade, DDS
2154 Goodman Rd W # 1, Horn Lake, MS 38637-1303 · (662) 393-9200