Individual
ROBERT GAITLEY CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS PA
Contact information
Practice address
4601 LAKE BOONE TRAIL, SUITE 1A, RALEIGH, NC 27607
(919) 786-4470
(919) 786-4471
Mailing address
PO BOX 17265, RALEIGH, NC 27619-7265
(919) 786-4470
(919) 786-4471
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4041
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
4041
NC
Other
Enumeration date
12/04/2006
Last updated
09/11/2025
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