Chandler, Mary Teresa

Chandler, Mary Teresa is an individual health care provider with primary practice located at 3074 Arville St , Las Vegas NV 89102-7490. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Chandler, Mary Teresa can be contacted via phone (702) 521-4550.

Contact Information

Primary practice address
3074 Arville St Las Vegas NV 89102-7490
Phone: (702) 521-4550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 3420 Nevada

Profile Details

NPI number 1245561133
LBN Legal business name Chandler, Mary Teresa
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2010
Last updated Jun 28th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245561133 NPPES
Nevada MEDICAID 1245561133

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