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Contact Information

CHANDA A KENNEMER, DDS
1405 SOUTH SANGRE RD
STILLWATER, OK74074
 Phone: 504-495-4126
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for CHANDA A KENNEMER · (Female)

NPI Number 1477766475
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/07/2007
Last updated 01/04/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 79
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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