Individual
CHARLES ALLEN CHANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
520 S MAIN ST, SWEETWATER, TN 37874-2705
(423) 337-6601
(423) 337-9350
Mailing address
520 S MAIN ST, SWEETWATER, TN 37874-2705
(423) 337-6601
(423) 337-9350
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8522
TN
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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