NPI 1083966386

Kenneth W Chancey DMD LLC

Organisation Preferred Provider Organization Enterprise, AL

Practice location

Address: 534 Boll Weevil Cir, Enterprise, AL 36330-4012
Phone: (334) 347-0036
Fax: (334) 208-2217

Authorised official

Name: Kenneth W Chancey
Title: Owner/Dentist
Phone: (334) 347-0036

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 3091 (AL)

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Registry record

NPI: 1083966386
Entity type: Organization
NPI issued: 10 Oct 2012
Record last updated: 10 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.