# JENNIFER S. CHADWELL DMD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568565810
- **Authorized official:** DR. JENNIFER SMITH CHADWELL DMD (DENTIST)
- **Authorized official phone:** (606) 256-5812

## Contact information

- **Practice address:** 325 RICHMOND STREET, MOUNT VERNON, KY 40456
- **Practice address phone:** (606) 256-5812
- **Practice address fax:** (606) 256-5812
- **Mailing address:** 325 RICHMOND STREET, MT. VERNON, KY 40456
- **Mailing address phone:** (606) 256-5812
- **Mailing address fax:** (606) 256-5812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7004 | KY | Yes |

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 06/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60070042 | — | KY |