Provider Demographics
NPI:1730561127
Name:CHENOWETH, ASHLEY CAROL (DDS)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:CAROL
Last Name:CHENOWETH
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 1:1410 LANE 10
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:WY
Mailing Address - Zip Code:82435-9458
Mailing Address - Country:US
Mailing Address - Phone:307-272-5284
Mailing Address - Fax:
Practice Address - Street 1:1410 LANE 10
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:WY
Practice Address - Zip Code:82435-9458
Practice Address - Country:US
Practice Address - Phone:307-272-5284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-23
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1413122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist