Keegan Chandler, DMD
Individual provider Active NPI General Practice Dentistry · Crestwood, KY
NPI 1578057147 · NPPES record last updated Jun 11, 2024
Key facts
- NPI
- 1578057147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 10142 (KY)
- Practice address
- 6438 W Highway 146
Crestwood, KY 40014-9575 - Phone
- (502) 241-5055
- Fax
- (502) 241-5799
- NPI assigned
- Jun 18, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10142 | KY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abshier Dental Care, PLLC, Wil M. Abshier, Jr., D.M.D. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10142 | KY | Yes |
Addresses
Primary practice location
6438 W Highway 146
Crestwood, KY 40014-9575
Mailing address
6438 W Highway 146
Crestwood, KY 40014-9575
Phone (502) 241-5055
Other providers in Crestwood, KY
- Alena Burns
- Care Therapy, PLLC
- Carroll Dental Care Crestwood
- Bridgette Loreen Carroll
- Laura R Carroll
- Charis Healthcare PLLC
- Niles Charlet
- Carmen Michelle Clark
- Thomas Jaggers Clark
- Stephanie Kay Clegg
All providers in Crestwood, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.