Individual
DR. JEFFREY M CHAUVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
816 LOWER DALLAS HWY, DALLAS, NC 28034-9368
(704) 922-4147
(704) 922-9252
Mailing address
816 LOWER DALLAS HWY, DALLAS, NC 28034-9368
(704) 922-4147
(704) 922-9252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5132
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8991535
—
NC
01
—
91535
BLUE CROSS ID
NC
Enumeration date
12/04/2006
Last updated
07/08/2007
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