Provider Demographics
NPI:1245393222
Name:CHENCIN, JOSEF (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEF
Middle Name:
Last Name:CHENCIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 BAYVIEW DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1710
Mailing Address - Country:US
Mailing Address - Phone:954-561-4730
Mailing Address - Fax:954-561-5975
Practice Address - Street 1:3015 BAYVIEW DR
Practice Address - Street 2:SUITE D
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1710
Practice Address - Country:US
Practice Address - Phone:954-561-4730
Practice Address - Fax:954-561-5975
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL94141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice