Provider Demographics
NPI:1912631490
Name:ARMS, CHANDLER SUSANNE (DMD)
Entity type:Individual
Prefix:
First Name:CHANDLER
Middle Name:SUSANNE
Last Name:ARMS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 JENKINS ST
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-2262
Mailing Address - Country:US
Mailing Address - Phone:864-415-2510
Mailing Address - Fax:
Practice Address - Street 1:631 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-3046
Practice Address - Country:US
Practice Address - Phone:864-308-1355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCDGD.102281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice