Organization · Type 2 NPI

Kevin Chidester, D.m.d., P.l.l.c.

Dental Clinic/Center · Knightdale, NC

NPI number 1255168282 Active

Practice location

6807 Knightdale Blvd Ste E&f
Knightdale, NC 27545-6562

Mailing address

3012 Bethwicke Ct
Raleigh, NC 27604-4964

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

About NPI 1255168282

Kevin Chidester, D.m.d., P.l.l.c.'s National Provider Identifier is 1255168282, issued on Sep 16, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Knightdale, NC. The record was last updated on Sep 16, 2024.