Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERAD CHANCE DIVINE, D.D.S.
ActiveDR. JERAD CHANCE DIVINE, D.D.S. is a Endodontics healthcare provider located in WICHITA, Kansas. NPI 1841587250 is currently active in the NPPES registry. Verify at CMS.
Endodontics · WICHITA, KS
Registration Details
- NPI Number
- 1841587250
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2011 (15.070732912712 yrs)
- Last Updated
- Dec 12, 2022
- Licenses
-
2011014424 (MO)61283 (KS)
Practice Information
- Address
-
12219 E CENTRAL AVEWICHITA, KS, 672062808Browse KS providers · Browse ZIP 67206
- Phone
- 3166811099
- Fax
- 3166132417
- Primary Specialty
-
Endodontics
1223E0200X
- Additional Specialty
- Endodontics
Other Endodontics Providers in WICHITA, KS
| Name | Credential | NPI |
|---|---|---|
| DR. ALAN THIBAULT | D.D.S., P.A. | 1003894684 |
| CRAIG FRANK HOFFMANN | DDS | 1972697019 |
| DR. DONALD R MAYER | DDS | 1487871208 |
| SHAYNE PERRY | DDS | 1659652949 |
| ANDY VU LUONG | DDS | 1578902359 |
| DR. JACOB KEVIN BUTLER | D.M.D., M.S. | 1891136370 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.