Dr. Chauncey L Conner, DDS
Dentist, General Practice in Kennesaw, GA. Individual provider (NPI-1).
NPI number1164516977
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164516977
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chauncey L Conner
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 3, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN012872 | GA | Yes |
Practice location
1200 Ernest W Barrett Pkwy Nw Ste 13Kennesaw, GA 30144-4543
Phone 678-354-0079
Mailing address
1200 Ernest W Barrett Pkwy Nw Ste 13Kennesaw, GA 30144-4543
Phone 678-354-0079
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