Provider Demographics
NPI:1881190106
Name:DOUGLAS L CHENIN DDS INC
Entity Type:Organization
Organization Name:DOUGLAS L CHENIN DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-424-3313
Mailing Address - Street 1:2001 UNION ST STE 420
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-4109
Mailing Address - Country:US
Mailing Address - Phone:415-424-3313
Mailing Address - Fax:415-655-9301
Practice Address - Street 1:2001 UNION ST STE 420
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4109
Practice Address - Country:US
Practice Address - Phone:415-424-3313
Practice Address - Fax:415-655-9301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA537731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty