NPI 1194391995 · live from the CMS NPI Registry
Robert Tate Chauncey, DMD, MSD
Dentist, Orthodontics and Dentofacial Orthopedics in Henderson, NV. National Provider Identifier 1194391995, active.
NPI record
| NPI | 1194391995 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1465 E Lake Mead Pkwy Ste 140, Henderson, NV 89015 |
| Practice phone | 702-330-4542 |
| Mailing address | 172 Brighton Hills Ave, Henderson, NV 89002 |
| Enumerated | June 2, 2021 |
| Last updated | December 19, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | S3-369 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.