| Clark C. Chaney Dds, Llc. | |
|
4121 W 83rd St Ste 206 Prairie Village KS 66208-5323 | |
| (913) 381-2828 | |
| Not Available |
| Full Name | Clark C. Chaney Dds, Llc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4121 W 83rd St Ste 206, Prairie Village, Kansas |
| Authorized Official Name and Position | Clark Christopher Chaney (OWNER & DENTIST) |
| Authorized Official Contact | 9135151561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark C. Chaney Dds, Llc. 5247 Roe Blvd Roeland Park KS 66205-2374 Ph: (913) 515-1561 | Clark C. Chaney Dds, Llc. 4121 W 83rd St Ste 206 Prairie Village KS 66208-5323 Ph: (913) 381-2828 |
| NPI Number | 1548731474 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 12/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548731474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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