Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaila Brooke Chavis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1225808959

Kaila Brooke Chavis is a Student in an Organized Health Care Education/Training Program in Fairmont, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2024
Specialties on file
2

Practice location Address checks out

210 S Walnut St
Fairmont, NC 28340-1956
Phone: (910) 668-6534
Fax: (910) 668-6535
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 59 Burnette Dr, Lumberton, NC 28360-8899 — (910) 316-1037

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 13736 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1225808959
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 3, 2024
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address60 Commerce Plaza Cir, Pembroke, NC 28372-7386