Organization · Type 2 NPI
Chanda A. Kennemer, Dds, PC
Pediatric Dentistry · Stillwater, OK
NPI number
1194900555
Active
Practice location
1405 S Sangre Rd
Stillwater, OK 74074-1832
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 79 (OK) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Stillwater
About NPI 1194900555
Chanda A. Kennemer, Dds, PC's National Provider Identifier is 1194900555, issued on Jan 4, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Stillwater, OK. The record was last updated on Jan 4, 2008.