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KENNETH W CHANCEY DMD LLC
NPI 1083966386
Preferred Provider Organization in Enterprise, AL

Active since October 10, 2012
534 BOLL WEEVIL CIR, ENTERPRISE, AL 36330(334) 347-0036(334) 208-2217 Get Directions Write a Review

NPPES record last updated: October 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth W Chancey Dmd Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH W CHANCEY DMD LLC (NPI 1083966386) is a healthcare organization registered as a preferred provider organization in Enterprise, Alabama and active in the NPI registry since October 2012. The organization lists Kenneth W Chancey, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1083966386
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameKENNETH W CHANCEY DMD LLC
Location Address534 BOLL WEEVIL CIREnterprise, AL 36330-4012
Mailing Address534 Boll Weevil CirEnterprise, AL 36330-4012 · (334) 347-0036 · Fax (334) 208-2217
Phone(334) 347-0036
Fax(334) 208-2217
Organization SubpartNo
Authorized OfficialKenneth W ChanceyOwner/dentist · (334) 347-0036
Enumeration DateOctober 10, 2012
✔ NPI 1083966386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in AL · 3091
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
534 BOLL WEEVIL CIR, Enterprise, AL 36330
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Other Identifiers 3

Other51091102AL · Blue Cross Blue Shield
Medicaid009915475AL
Other000825887AL · United Concordia

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENTERPRISE FAMILY DENTAL, PC
Clinic/Center (Dental)
534 BOLL WEEVIL CIR
ENTERPRISE, AL 36330
Coffee County (334) 417-1228
OAK PARK DENTAL LLC
Dentist (General Practice)
534 BOLL WEEVIL CIR
ENTERPRISE, AL 36330
Coffee County (334) 566-8266
DANIEL CHARLES MCCULLOUGH D.M.D.
Dentist (General Practice)
534 BOLL WEEVIL CIR
ENTERPRISE, AL 36330
Coffee County (334) 806-7016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth W Chancey Dmd LLC's NPI number?

The NPI number for Kenneth W Chancey Dmd LLC is 1083966386. It was assigned to this organization in the NPPES registry on October 10, 2012.

Where is Kenneth W Chancey Dmd LLC located?

Kenneth W Chancey Dmd LLC is located at 534 Boll Weevil Cir, Enterprise, AL 36330. The listed phone number is (334) 347-0036.

What is Kenneth W Chancey Dmd LLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Kenneth W Chancey Dmd LLC was last updated on October 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.