Kenneth W Chancey Dmd LLC
NPI #1083966386 in Enterprise, Alabama
Provider Information
- NPI Number
- 1083966386
- Entity Type
- Organization
- Organization Name
- Kenneth W Chancey Dmd LLC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Oct 10, 2012
- Last Updated
- Oct 10, 2012
Practice Location
- Address
- 534 BOLL WEEVIL CIR
- City
- Enterprise
- State
- Alabama
- ZIP Code
- 36330-4012
- Phone
- (334) 347-0036
Authorized Official
- Name
- MR. KENNETH W CHANCEY, DMD
- Title
- OWNER/DENTIST
- Phone
- (334) 347-0036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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