Chanda A. Kennemer, Dds, Pc in Stillwater - Pediatric Dentistry

Chanda A. Kennemer, Dds, Pc - NPI 1194900555

Chanda A. Kennemer, Dds, Pc is a Pediatric Dentistry in Stillwater, Oklahoma. Chanda A. Kennemer, Dds, Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Chanda A. Kennemer, Dds, Pc is 1194900555. The last update date is 2008-01-04.

Chanda A. Kennemer, Dds, Pc's current location address is 1405 S Sangre Rd, Stillwater, Oklahoma. You can contact this provider via phone number 4055331233. The mailing address for Chanda A. Kennemer, Dds, Pc is 1405 S Sangre Rd, Stillwater, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Chanda A. Kennemer, Dds, Pc
Address 1405 S Sangre Rd, Stillwater, Oklahoma
Phone Number 4055331233
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PEDIATRIC
Authorized Official Name Kennemer Ann Chanda
Credentials DDS
Telephone Number 4055331233

NPI Number Detail

NPI Number 1194900555
Provider Enumeration Date 2008-01-04
Last Updated Date 2008-01-04

Provider Mailing Address Detail

Address 1405 S Sangre Rd
City Stillwater
State Oklahoma (OK)
Post Code 740741832
Phone Number 4055331233
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 79
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Chanda A. Kennemer, Dds, Pc

What is the unique identifier code issued to Chanda A. Kennemer, Dds, Pc by the Centers for Medicare & Medicaid Services (CMS)?

The Chanda A. Kennemer, Dds, Pc has been assigned the NPI (National Provider Identifier) 1194900555. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Chanda A. Kennemer, Dds, Pc is physically located?

The Chanda A. Kennemer, Dds, Pc is physically situated at the following address: 1405 S Sangre Rd, Stillwater, OK, 740741832.

What is Chanda A. Kennemer, Dds, Pc's area of expertise and its corresponding taxonomy classification?

The Chanda A. Kennemer, Dds, Pc's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.

When did the Chanda A. Kennemer, Dds, Pc receive its 1194900555?

The Chanda A. Kennemer, Dds, Pc was issued its 1194900555 on 2008-01-04, which is the date when the organization was assigned this unique identifier.

When was the information related to Chanda A. Kennemer, Dds, Pc most recently updated or refreshed?

The details pertaining to the Chanda A. Kennemer, Dds, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-04.

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