Organization
CLARK C. CHANEY DDS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK CHRISTOPHER CHANEY DDS (OWNER & DENTIST)
(913) 515-1561
Entity
Organization
Contact information
Practice address
4121 W 83RD ST STE 206, PRAIRIE VILLAGE, KS 66208-5323
(913) 381-2828
Mailing address
5247 ROE BLVD, ROELAND PARK, KS 66205-2374
(913) 515-1561
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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