Individual
MRS. JENNIFER S. CHADWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
325 RICHMOND STREET, MOUNT VERNON, KY 40456-2712
(606) 256-5812
(606) 256-3748
Mailing address
PO BOX 687, MOUNT VERNON, KY 40456-0687
(606) 256-5812
(606) 256-3748
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7004
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60070042
—
KY
Enumeration date
01/04/2012
Last updated
01/04/2012
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