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Kenneth W Chancey Dmd Llc
Preferred Provider Organization in Enterprise, Alabama
NPI 1083966386

Kenneth W Chancey Dmd Llc is a Preferred Provider Organization based in Enterprise, AL. Kenneth W Chancey Dmd Llc practices in Enterprise, AL. The NPI Number for Kenneth W Chancey Dmd Llc is 1083966386 and holds a License No. 3091 (Alabama).

The current practice location address for Kenneth W Chancey Dmd Llc is 534 Boll Weevil Cir, Enterprise, AL and can be reached out via phone at 334-347-0036 and via fax at 334-208-2217.

Location: 534 Boll Weevil Cir, Enterprise, AL, 36330-4012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083966386
Provider Name
Kenneth W Chancey Dmd Llc
Credential
Provider Entity Type
Organization
Address
534 Boll Weevil Cir, Enterprise, AL, 36330-4012
Phone Number
334-347-0036
Fax Number
334-208-2217
Provider Enumeration Date
10/10/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009915475 05 AL
51091102 01 AL BLUE CROSS BLUE SHIELD
000825887 01 AL UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
534 Boll Weevil Cir
City
Enterprise
State
Alabama
Zip
36330-4012
Phone Number
334-347-0036
Fax Number
334-208-2217
person
Provider Business Mailing Address Details
Address
534 Boll Weevil Cir
City
Enterprise
State
Alabama
Zip
36330-4012
Phone Number
334-347-0036
Fax Number
334-208-2217
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
3091 (Alabama)
Definition
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.
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