Provider Demographics
NPI:1710745153
Name:CHENET COSMETIC AND FAMILY DENTISTRY P C
Entity type:Organization
Organization Name:CHENET COSMETIC AND FAMILY DENTISTRY P C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHENET
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:412-952-1939
Mailing Address - Street 1:200 COMMERCE DR STE 203
Mailing Address - Street 2:
Mailing Address - City:MOON TWP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-3189
Mailing Address - Country:US
Mailing Address - Phone:412-367-0367
Mailing Address - Fax:412-367-0366
Practice Address - Street 1:20280 ROUTE 19 UNIT 6
Practice Address - Street 2:
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-6125
Practice Address - Country:US
Practice Address - Phone:412-367-0367
Practice Address - Fax:412-367-0366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment