Provider Demographics
NPI:1205897527
Name:CHANDLER, JULIEANNE (DDS)
Entity type:Individual
Prefix:
First Name:JULIEANNE
Middle Name:
Last Name:CHANDLER
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 1:5221 N CLIFFSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-1832
Mailing Address - Country:US
Mailing Address - Phone:602-224-4129
Mailing Address - Fax:
Practice Address - Street 1:7473 E OSBORN RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6423
Practice Address - Country:US
Practice Address - Phone:480-949-5569
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4319122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist