Individual
DR. KEVIN DANIEL CHIDESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
200 CORNERSTONE DR STE 200&203, CARY, NC 27519-8428
(435) 635-9471
Mailing address
3012 BETHWICKE CT, RALEIGH, NC 27604-4964
(978) 254-1322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
13421681-8903
UT
122300000X
Dentist
13421681-9921
UT
1223G0001X
General Practice Dentistry
Primary
13688
NC
Other
Enumeration date
05/29/2023
Last updated
08/23/2024
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