# DR. AMY TANEL CHADWELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710972542
- **Gender:** F
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6417 | NE | Yes |

## Other

- **Enumeration date:** 09/19/2005
- **Last updated:** 10/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 05273 | BCBS PROVIDER ID | NE |
| 05 | — | 100252469-00 | — | NE |