Provider Demographics
NPI:1891305868
Name:STOHRER, CHANEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHANEL
Middle Name:
Last Name:STOHRER
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 1:1001 TULIP DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-7362
Mailing Address - Country:US
Mailing Address - Phone:757-589-7637
Mailing Address - Fax:
Practice Address - Street 1:1300 CEDAR RD STE 100
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-7414
Practice Address - Country:US
Practice Address - Phone:757-548-3238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014170031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice