Individual provider · Type 1 NPI
Chanda Ann Kennemer, DDS
Pediatric Dentistry · Stillwater, OK
NPI number
1477766475
Active
Practice location
1405 South Sangre Rd
Stillwater, OK 74074
Mailing address
1324 N Washington St
Stillwater, OK 74075-3331
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.
About NPI 1477766475
Chanda Ann Kennemer, DDS's National Provider Identifier is 1477766475, issued on May 7, 2007. 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.