Organization
JENNIFER S. CHADWELL DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER SMITH CHADWELL DMD (DENTIST)
(606) 256-5812
Entity
Organization
Contact information
Practice address
325 RICHMOND STREET, MOUNT VERNON, KY 40456
(606) 256-5812
(606) 256-5812
Mailing address
325 RICHMOND STREET, MT. VERNON, KY 40456
(606) 256-5812
(606) 256-5812
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
09/05/2006
Last updated
06/18/2008
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