Provider Demographics
NPI:1922182922
Name:NANCY R. CHAFFEE, D.D.S., M.S., P.L.L.C.
Entity Type:Organization
Organization Name:NANCY R. CHAFFEE, D.D.S., M.S., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:CHAFFEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:919-387-4775
Mailing Address - Street 1:500 W WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-1846
Mailing Address - Country:US
Mailing Address - Phone:919-387-4775
Mailing Address - Fax:919-387-9559
Practice Address - Street 1:500 W WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-1846
Practice Address - Country:US
Practice Address - Phone:919-387-4775
Practice Address - Fax:919-387-9559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC72591223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty