Provider Demographics
NPI:1629154646
Name:CHAFFEE, NANCY RAE (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:RAE
Last Name:CHAFFEE
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1051 PEMBERTON HILL RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-4267
Mailing Address - Country:US
Mailing Address - Phone:919-387-4775
Mailing Address - Fax:919-387-9559
Practice Address - Street 1:1051 PEMBERTON HILL RD
Practice Address - Street 2:SUITE 102
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-4267
Practice Address - Country:US
Practice Address - Phone:919-387-4775
Practice Address - Fax:919-387-9559
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC72591223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics