Organization
CHANEY, COUCH & ASSOCIATES
Active
Other names
D/B/A Chaney Couch & Grooters Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA KAYE HOLLIFIELD (OFFICE MANAGER)
(850) 877-0215
Entity
Organization
Contact information
Practice address
3612 AUSTIN DAVIS AVE, TALLAHASSEE, FL 32308-7401
(850) 877-0215
(850) 329-2642
Mailing address
3612 AUSTIN DAVIS AVE, TALLAHASSEE, FL 32308-7401
(850) 877-0215
(850) 329-2642
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN16145
FL
122300000X
Dentist
DN8129
FL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60053
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/25/2007
Last updated
04/29/2020
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