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NPI Code Detail

MEDICARE: DR. STEPHEN H CHRONISTER DDS

MEDICARE:  DR. STEPHEN H CHRONISTER  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
11223G0001XGeneral Practice Dentistry6160KS

General Provider Information

NPI Number : 1629056072
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN H CHRONISTER DDS
Provider Business Mailing Address
First Line : 627 SW TOPEKA BLVD
Second Line :
City : TOPEKA
State : KS
Zip : 66603-3287
Country : US
Telephone Number : 785-234-4425
Fax Number :
Provider Business Practice Location Address
First Line : 627 SW TOPEKA BLVD
Second Line :
City : TOPEKA
State : KS
Zip : 66603-3287
Country : US
Telephone Number : 785-234-4425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2006
Last Update Date : 07/08/2007

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Directions to “ DR. STEPHEN H CHRONISTER DDS” Practice Location

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