Individual
NICHOLAS CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1407 S CARROLLTON AVE, NEW ORLEANS, LA 70118-2872
(504) 861-2523
Mailing address
1407 S CARROLLTON AVE, NEW ORLEANS, LA 70118-2872
(504) 861-2523
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7057
LA
1223G0001X
General Practice Dentistry
7358
OK
Other
Enumeration date
06/10/2020
Last updated
01/20/2021
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