DR. JAMES W. CHANCELLOR IV


Address: 21922 Deer Canyon Dr, Garden Ridge, TX 78266-2140
Phone: 2106514047

DR. JAMES W. CHANCELLOR IV (NPI# 1598788085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598788085
Entity Type Individual
Full Name DR. JAMES W. CHANCELLOR IV
Credential D.D.S.
Practice Address 21922 Deer Canyon Dr
Garden Ridge
TX 78266-2140
Practice Telephone 2106514047
Mailing Telephone 2106514047
Enumeration Date 2006-07-25
Last Update Date 2013-05-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223D0004X Dentist
Specialization: Dentist Anesthesiologist
9483 TX Dental Providers

Office Location

Street Address 21922 DEER CANYON DR
City GARDEN RIDGE
State TX
Zip Code 78266-2140

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1659316537 Kelly S Zentner Counselor 19115 Fm 2252 Ste 15, Garden Ridge, TX 78266 2006-06-17
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Taxonomy Information

Taxonomy Code 1223D0004X
Grouping Dental Providers
Classification Dentist
Specialization Dentist Anesthesiologist

Taxonomy Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265914923 Hill Country Special Care Dental Center, Pllc Dentist 30745 Us Highway 281 N # 103, Bulverde, TX 78163-3291 2018-08-29
1811363807 Ryne Patrick Wilson Dentist 4500 Narrowbrook Dr, Flower Mound, TX 75028-6030 2015-08-13
1386052751 Vmax Dental Dentist 110 N Preston Rd, Suite 10, Prosper, TX 75078-8643 2014-07-29
1194148841 Albert Kang, Dds Inc Dentist 22202 Estate Hill Dr Apt 15207, San Antonio, TX 78258-3550 2014-01-31
1093147852 Albert Byoungoh Kang Dentist 22202 Estate Hill Dr # 15207, San Antonio, TX 78258-3398 2013-08-04
1518276740 Hunter Ross Stuart II Dentist 2408 N Fielder Rd, Arlington, TX 76012-5531 2010-10-05
1649426891 Mohit Sharda Dentist 5999 Custer Rd, Suite # 125, Frisco, TX 75035-9302 2008-08-07
1871759621 Iris Lo Dentist 3401 Royal Vista Blvd Ste A100, Round Rock, TX 78681-1149 2008-07-31
1154500247 Andrea M Bell Dentist 625 El Gusto Dr, El Paso, TX 79912-2517 2007-10-25
1114050002 Bryan Neal Henderson II Dentist 8325 Walnut Hill Ln Ste 235, Dallas, TX 75231-4255 2007-03-13
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Competitor

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City GARDEN RIDGE
Zip Code 78266

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Dataset Information

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.

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