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Individual

DR. THOMAS EARL CHANDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
262 NORTH 350 EAST, DELTA, UT 84624
(435) 864-3881
Mailing address
262 NORTH 350 EAST, DELTA, UT 84624
(435) 864-3881

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
138183-8903
UT
1223G0001X
General Practice Dentistry
138183-9922
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1381838903
DENTAL LICENSE
UT
01
1381839922
ANESTHESIA CLASS II PERMI
UT
Enumeration date
10/31/2006
Last updated
03/07/2023
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