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NPI Code Detail

MEDICARE: DR. ANDREW B CHANEY DDS

MEDICARE: DR. ANDREW B CHANEY DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist33012TX

General Provider Information

NPI Number : 1134658354
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW B CHANEY DDS
Provider Business Mailing Address
First Line : 9000 CHAPEL RD APT 33102
Second Line :
City : WACO
State : TX
Zip : 76712-8935
Country : US
Telephone Number : 210-883-7117
Fax Number :
Provider Business Practice Location Address
First Line : 121 EASTGATE PLZ
Second Line :
City : WACO
State : TX
Zip : 76705-2868
Country : US
Telephone Number : 210-883-7117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2017
Last Update Date : 06/09/2017

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Directions to “ DR. ANDREW B CHANEY DDS” Practice Location

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