| Estate Of Kevin L. Chancellor | |
|
3173 Ne West Devils Lake Rd Lincoln City OR 97367 | |
| (541) 994-8135 | |
| (541) 994-8136 |
| Full Name | Estate Of Kevin L. Chancellor |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3173 Ne West Devils Lake Rd, Lincoln City, Oregon |
| Authorized Official Name and Position | Danielle M Chancellor (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 5419948135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Estate Of Kevin L. Chancellor 3173 Ne West Devils Lake Rd Lincoln City OR 97367 Ph: (541) 994-8135 | Estate Of Kevin L. Chancellor 3173 Ne West Devils Lake Rd Lincoln City OR 97367 Ph: (541) 994-8135 |
| NPI Number | 1518106228 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 02/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518106228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D5874 (Oregon) | Primary |
Crisdental Lincoln City, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2604 Ne Highway 101, Lincoln City, OR 97367 Phone: 541-492-1687 | |
Oregon Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8815 Keys Place, Lincoln City, OR 97367 Phone: 541-351-8069 Fax: 541-418-4311 | |
Lincoln City Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Se 1st St, Lincoln City, OR 97367 Phone: 541-994-8935 | |
Lakeside Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3173 Ne West Devils Lake Rd., Lincoln City, OR 97367 Phone: 541-994-8135 Fax: 541-994-8136 |