Provider Demographics
NPI:1619205812
Name:CHASTANET, YVETTE L (DDS)
Entity Type:Individual
Prefix:DR
First Name:YVETTE
Middle Name:L
Last Name:CHASTANET
Suffix:
Gender:F
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:US ARMY DENTAL ACTIVITY
Mailing Address - Street 2:BLDG B-6837 NORMANDY DR.
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310-5000
Mailing Address - Country:US
Mailing Address - Phone:910-907-1080
Mailing Address - Fax:
Practice Address - Street 1:US ARMY DENTAL ACTIVITY
Practice Address - Street 2:BLDG B-6837 NORMANDY DR.
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-5000
Practice Address - Country:US
Practice Address - Phone:910-907-1080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-27
Last Update Date:2011-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS607301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice