Individual
DR. CHANCEY B. C. WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1100 NORTHSIDE FORSYTH DR, SUITE 420, CUMMING, GA 30041-6012
(678) 455-4560
Mailing address
410 PEACHTREE PKWY, STE 4204, CUMMING, GA 30041-7439
(678) 455-4560
(678) 455-9628
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 012398
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000929475A
—
GA
Enumeration date
09/21/2006
Last updated
03/17/2016
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