THOMAS CHISAM DMD
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1356236517- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD
- Status
- Active
Contact & Location
- Address
- 2052 HARRIS PIKE # 54, INDEPENDENCE, KY, 410517783
- Phone
- (859) 898-2255
Specialties & Taxonomies
Dentist, General Practice
Primary License: KY #11380