CHANDA A. KENNEMER, DDS, PC (NPI# 1194900555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194900555 |
| Entity Type | Organization |
| Organization Name | CHANDA A. KENNEMER, DDS, PC |
| Practice Address |
1405 S Sangre Rd Stillwater OK 74074-1832 |
| Practice Telephone | 4055331233 |
| Mailing Telephone | 4055331233 |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |
| Authorized Official Name | CHANDA ANN KENNEMER (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 4055331233 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
79 | OK | Dental Providers |
| Street Address |
1405 S SANGRE RD |
| City | STILLWATER |
| State | OK |
| Zip Code | 74074-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
| 1881256691 | Shelly Lynn Green | Nurse Practitioner | 1321 W. 7th Street, Stillwater, OK 74074 | 2019-07-01 |
| 1811426273 | Judy Catlett | Case Manager/Care Coordinator | 800 E. 6th Str, Stillwater, OK 74074 | 2017-06-08 |
| 1518322296 | Abi Physical Therapy Services | Physical Therapist | 810 S. Walnut Street, Stillwater, OK 74074 | 2015-12-22 |
| 1366833451 | Connecting The Pieces | Case Management | 812 S Walnut, Stillwater, OK 74074 | 2015-02-10 |
| 1790122414 | Airie Flanagan | Doula | 2601 Gregory Ln, Stillwater, OK 74074 | 2013-06-04 |
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
| 1487889952 | Lynn B. Roberts | General Practice | 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 | 2009-05-27 |
| Find all providers in zip 74074 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477766475 | Chanda Ann Kennemer | Dentist | 1405 South Sangre Rd, Stillwater, OK 74074 | 2007-05-07 |
| 1477638294 | Drs Mielke Baylon & Beinlich | Dentist | 1809 Northwestern Ave, #100, Stillwater, MN 55082-7521 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042990 | Karnish Pediatric Dentistry | Dentist | 1414 N Kennedy Ave Ste 101, Shawnee, OK 74801-4761 | 2020-04-22 |
| 1932684297 | Jemima Poitevien, D.d.s., P.l.l.c. | Dentist | 4225 W Memorial Rd Ste 101-b, Oklahoma City, OK 73134-1761 | 2018-10-02 |
| 1275057887 | Bobby D. Cheatham,d.d.s.,pc | Dentist | 2800 N Kelly Ave Ste 200, Edmond, OK 73003-3004 | 2017-07-26 |
| 1760864235 | Pediatric Dental Group II, LLC | Dentist | 7715 E 91st St Ste A, Tulsa, OK 74133-6060 | 2015-06-22 |
| 1093062911 | Pediatric Dental Partners Pllc | Dentist | 5940 Nw Expressway Ste 200, Oklahoma City, OK 73132-5101 | 2012-08-09 |
| 1235419409 | Edmond Pediatric and Teen Dentistry | Dentist | 3824 S. Boulevard, Suite 110, Edmond, OK 73013 | 2011-08-19 |
| 1508023383 | Thai-an Doan D.d.s. P.C. | Dentist | 11318 N May Ave, Suite B, Oklahoma City, OK 73120-5860 | 2008-05-20 |
| 1104091479 | Martha L Garzon Dmd, Ms | Dentist | 609 S Kelly Ave Ste C1, Edmond, OK 73003-5743 | 2008-04-28 |
| 1881868719 | Jeffrey J. Ahlert, D.d.s., P.l.l.c. | Dentist | 3614 Se Kentucky St, Bartlesville, OK 74006-2323 | 2008-04-22 |
| 1619162054 | Robert Brian Molloy | Dentist | 9801 S Pennsylvania Ave, Oklahoma City, OK 73159-6925 | 2007-09-10 |
| Find all providers with the same taxonomy | ||||
| City | STILLWATER |
| Zip Code | 74074 |
Please comment or provide details below to improve the information on CHANDA A. KENNEMER, DDS, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.