IndividualActive
Dudley Chandler, DDS
NPI 1245456979 · Periodontics · Winston Salem, NC
Provider details
- NPI number
- 1245456979
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 3430 (NC)
Specialties & taxonomies
Dental Providers
Practice location
1617 S Hawthorne Rd
Winston Salem, NC 27103-4127
Phone: (336) 765-9224
Fax: (336) 765-2340
Approximate (ZIP-level) locationGet directions
Mailing address
1617 S Hawthorne Rd
Winston Salem, NC 27103-4127
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.