Chandler, Bryce S

Chandler, Bryce S is an sole proprietor health care provider with primary practice located at 11021 Old Corpus Christi Hwy , San Antonio TX 78223. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chandler, Bryce S can be contacted via phone (210) 633-0057.

Contact Information

Primary practice address
11021 Old Corpus Christi Hwy San Antonio TX 78223
Phone: (210) 633-0057
Fax: (888) 633-2279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20075 Texas

Profile Details

NPI number 1922135714
LBN Legal business name Chandler, Bryce S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Apr 27th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922135714 NPPES
Texas MEDICAID 009548101

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