| Kevin Chidester, D.m.d., P.l.l.c. | |
|
6807 Knightdale Blvd Ste E&f Knightdale NC 27545-6562 | |
| (978) 254-1322 | |
| Not Available |
| Full Name | Kevin Chidester, D.m.d., P.l.l.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6807 Knightdale Blvd Ste E&f, Knightdale, North Carolina |
| Authorized Official Name and Position | Kevin Chidester (MANAGING MEMBER) |
| Authorized Official Contact | 9782541322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Chidester, D.m.d., P.l.l.c. 3012 Bethwicke Ct Raleigh NC 27604-4964 Ph: () - | Kevin Chidester, D.m.d., P.l.l.c. 6807 Knightdale Blvd Ste E&f Knightdale NC 27545-6562 Ph: (978) 254-1322 |
| NPI Number | 1255168282 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255168282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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