Individual
CLAY STEVEN CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
3839 W CONGRESS ST STE C, LAFAYETTE, LA 70506-6000
(337) 984-0403
(337) 981-9006
Mailing address
3839 W CONGRESS ST STE C, LAFAYETTE, LA 70506-6000
(337) 984-0403
(337) 981-9006
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5469
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1065960
—
LA
Enumeration date
03/29/2008
Last updated
06/24/2016
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