Kenneth W Chancey Dmd Llc

LBN: Kenneth W Chancey Dmd Llc
Kenneth W Chancey Dmd Llc is an health care organization with primary practice located at 534 Boll Weevil Cir , Enterprise AL 36330-4012. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Kenneth W Chancey Dmd Llc can be contacted via phone (334) 347-0036, or through Chancey, Kenneth W via phone (334) 347-0036.

Contact Information

Primary practice address
534 Boll Weevil Cir Enterprise AL 36330-4012
Phone: (334) 347-0036
Fax: (334) 208-2217
Website:
Map and Directions
Authorized official contact:
Name: Chancey, Kenneth W Doctor of Dental Medicine (DMD)
Phone: (334) 347-0036

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 3091 Alabama

Profile Details

NPI number 1083966386
LBN Legal business name Kenneth W Chancey Dmd Llc
DBA Doing business as
Authorized official Chancey, Kenneth W Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2012
Last updated Oct 10th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083966386 NPPES
Alabama MEDICAID 009915475
Alabama Other 51091102
Alabama Other 000825887

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