Chauncey L. Conner DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHAUNCEY L. CONNER DDS LLC

Doing business as

Conner Dental Associates

Practice address

1200 Barrett Pkwy
Suite 13
Kennesaw, GA 30144-7557

Phone

(678) 354-0079

Fax

(678) 354-0062

NPI assigned

Jun 3, 2009

Last updated

Jun 3, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Maydee Salguero

Title

Office Administrator

Phone

(678) 354-0079

Specialties & licenses 3

Addresses

Other names 1

• Conner Dental Associates Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chauncey L Conner, DDS

  • General Practice Dentistry
  • Kennesaw, GA
  • NPI 1164516977
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1992931000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BARRETT PARKWAY",
            "address_2": "SUITE 13",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30144",
            "telephone_number": "678-354-0079",
            "fax_number": "678-354-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BARRETT PKWY",
            "address_2": "SUITE 13",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447557",
            "telephone_number": "678-354-0079",
            "fax_number": "678-354-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUNCEY L. CONNER DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "SALGUERO",
        "authorized_official_first_name": "MAYDEE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "678-354-0079",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conner Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bianca Cristine Channer, DR.
• Kristin Sarah Chapman, MS, LMFT
• Linda Crenshaw Charrette, LPC
• Kim E Chastain, P.T., O.C.S.
• Hoa P Chau, PHARMD
• Hsueh-Jen Chen, RPH
• Jean Won Chen, PHARMD
• Cherokee DME LLC
• Cherokee Street Dental
• Filomise Chery

• General Practice Dentistry in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.