Chester Lee Conner, DDS
Individual provider Active NPI General Practice Dentistry · Plymouth, NC
NPI 1619907227 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619907227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3661 (NC)
- Practice address
- 363 Highway 64 West
Plymouth, NC 27962 - Phone
- (252) 793-5942
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 3661 | NC | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3661 | NC | Yes |
Addresses
Primary practice location
363 Highway 64 West
Plymouth, NC 27962
Mailing address
PO Box 9
Plymouth, NC 27962-0009
Phone (252) 793-5942
Other providers in Plymouth, NC
- Peter Champion
- Changing Hearts Instead of Losing Lives, Inc
- Anne Elizabeth Charles
- Margaret Susan Cody
- Community Alignments & Adjustments
- County of Washington
- County of Washington
- County of Washington
- Covenant Healthcare LLC
- Covenant Healthcare,LLC
All providers in Plymouth, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.