Organization
DRKBCHASELLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH BERNARD CHASE D.D.S. (OWNER)
(301) 475-5926
Entity
Organization
Contact information
Practice address
23808 HOLLYWOOD RD, LEONARDTOWN, MD 20650-5825
(301) 475-5926
(301) 475-2653
Mailing address
23808 HOLLYWOOD RD, LEONARDTOWN, MD 20650-5825
(301) 475-5926
(301) 475-2653
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6787
MD
1223P0221X
Pediatric Dentistry
14062
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122300000X
—
MD
Enumeration date
03/24/2010
Last updated
03/24/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us