Provider Demographics
NPI:1386269884
Name:CHANDLER FAMILY DENTISTRY INC
Entity type:Organization
Organization Name:CHANDLER FAMILY DENTISTRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:CHANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:501-225-3977
Mailing Address - Street 1:11327 ARCADE DR STE D
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-4090
Mailing Address - Country:US
Mailing Address - Phone:501-225-3977
Mailing Address - Fax:501-225-3988
Practice Address - Street 1:11327 ARCADE DR STE D
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212-4090
Practice Address - Country:US
Practice Address - Phone:501-225-3977
Practice Address - Fax:501-225-3988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental