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Contact Information

KENNETH B CHASE, DDS
23808 HOLLYWOOD ROAD
LEONARDTOWN, MD20650
 Phone: 301-475-5926
 Fax: 301-475-5971
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for KENNETH B CHASE · (Male)

NPI Number 1306069240
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/10/2007
Last updated 09/23/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 6787
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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