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NPI Code Detail

MEDICARE: CHANDLER SUSANNE ARMS DMD

MEDICARE: CHANDLER SUSANNE ARMS DMD
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 DentistryDGD.10228SC

General Provider Information

NPI Number : 1912631490
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANDLER SUSANNE ARMS DMD
Provider Business Mailing Address
First Line : 1070 JENKINS ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29303-2262
Country : US
Telephone Number : 864-415-2510
Fax Number :
Provider Business Practice Location Address
First Line : 631 N CHURCH ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29303-3046
Country : US
Telephone Number : 864-308-1355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2022
Last Update Date : 07/12/2022

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Directions to “ CHANDLER SUSANNE ARMS DMD” Practice Location

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