Chanda Ann Kennemer in Stillwater - Pediatric Dentistry
Chanda Ann Kennemer - NPI 1477766475
Chanda Ann Kennemer is a Pediatric Dentistry in Stillwater, Oklahoma. Chanda Ann Kennemer practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Chanda Ann Kennemer is 1477766475. The last update date is 2008-01-04.
Chanda Ann Kennemer's current location address is 1324 N Washington St, Stillwater, Oklahoma. You can contact this provider via phone number 5044954126. The mailing address for Chanda Ann Kennemer is 1324 N Washington St, Stillwater, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chanda Ann Kennemer |
|---|---|
| Address | 1324 N Washington St, Stillwater, Oklahoma |
| Phone Number | 5044954126 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1477766475 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2008-01-04 |
Provider Mailing Address Detail
| Address | 1324 N Washington St |
|---|---|
| City | Stillwater |
| State | Oklahoma (OK) |
| Post Code | 740753331 |
| Phone Number | 5044954126 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 79 |
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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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What is the unique 10-digit identification code issued to Chanda Ann Kennemer by the Centers for Medicare & Medicaid Services?
The Chanda Ann Kennemer has been assigned the NPI (National Provider Identifier) 1477766475 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Chanda Ann Kennemer's physical address?
The Chanda Ann Kennemer is physically located at 1324 N Washington St, in the city of Stillwater, OK, with the postal code 740753331.
What is the Chanda Ann Kennemer's area of specialization and corresponding taxonomy classification?
The Chanda Ann Kennemer's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Chanda Ann Kennemer receive the assignment of its 1477766475 from the Centers for Medicare & Medicaid Services?
The Chanda Ann Kennemer was issued its 1477766475 by the Centers for Medicare & Medicaid Services on 2007-05-07.
As of what date were the Chanda Ann Kennemer's details last updated?
The information pertaining to the Chanda Ann Kennemer, including its address, specialty, and other details, was most recently updated on 2008-01-04.
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