| R. Tate Chauncey Dmd Msd, Pllc | |
|
1465 E Lake Mead Pkwy Ste 140 Henderson NV 89015-4631 | |
| (702) 306-1830 | |
| Not Available |
| Full Name | R. Tate Chauncey Dmd Msd, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1465 E Lake Mead Pkwy Ste 140, Henderson, Nevada |
| Authorized Official Name and Position | Robert Tate Chauncey (OWNER) |
| Authorized Official Contact | 7023061830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R. Tate Chauncey Dmd Msd, Pllc 172 Brighton Hills Ave Henderson NV 89002-0527 Ph: (702) 306-1830 | R. Tate Chauncey Dmd Msd, Pllc 1465 E Lake Mead Pkwy Ste 140 Henderson NV 89015-4631 Ph: (702) 306-1830 |
| NPI Number | 1255105508 |
|---|---|
| Provider Enumeration Date | 11/08/2023 |
| Last Update Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255105508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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