National Provider Identifier Database

KENNETH W CHANCEY DMD LLC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

KENNETH W CHANCEY DMD LLC
534 BOLL WEEVIL CIR
ENTERPRISE, AL36330-4012
Phone: 334-347-0036
Fax: 334-208-2217
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for KENNETH W CHANCEY DMD LLC

NPI Number 1083966386
Legal business name
LBN
KENNETH W CHANCEY DMD LLC
Authorized official KENNETH CHANCEY - (OWNER/DENTIST)
Entity Organization
Organization subpart No
Enumeration date 10/10/2012
Last updated 10/10/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • AL License #: 3091
  • AL Medicaid: 009915475
  • AL Other: 51091102 BLUE CROSS BLUE SHIELD
  • AL Other: 000825887 UNITED CONCORDIA

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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