DR. Jeremy Alan Chatfield, D.D.S.

NPI #1194805291 in Hayden, Idaho

Provider Information

NPI Number: 1194805291
Entity Type: Individual
Name: DR. Jeremy Alan Chatfield, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Oct 16, 2006
Last Updated: Jun 11, 2020

Practice Location

Address: 8152 N WAYNE BLVD
City: Hayden
State: Idaho
ZIP Code: 83835-5031
Phone: (208) 500-3030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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