Guillermo Enrique Chacon in Puyallup - Oral And Maxillofacial Surgery
Guillermo Enrique Chacon - NPI 1619047511
Guillermo Enrique Chacon is a Oral And Maxillofacial Surgery in Puyallup, Washington. Guillermo Enrique Chacon practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Guillermo Enrique Chacon is 1619047511. The last update date is 2017-04-10.
Guillermo Enrique Chacon's current location address is 2910 S Meridian, Puyallup, Washington. You can contact this provider via phone number 2534450022 and fax number 2534450979. The mailing address for Guillermo Enrique Chacon is 2910 S Meridian, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Guillermo Enrique Chacon |
|---|---|
| Address | 2910 S Meridian, Puyallup, Washington |
| Phone Number | 2534450022 |
| Fax Number | 2534450979 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1619047511 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2017-04-10 |
Provider Mailing Address Detail
| Address | 2910 S Meridian |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983731585 |
| Phone Number | 2534450022 |
| Fax Number | 2534450979 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DE 60063175 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2237985 | WA | -- | |
| 311203750028 | OH | CARESOURCE | |
| 2237985 | OH | BCMH | |
| CH4046621 | WA | MEDICARE ID TYPE UNSPECIFIED P |
Post Comment/ Review Below
What is the unique identification code assigned to Guillermo Enrique Chacon by the Centers for Medicare & Medicaid Services?
The Guillermo Enrique Chacon has been issued the NPI (National Provider Identifier) 1619047511. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Guillermo Enrique Chacon?
The Guillermo Enrique Chacon is situated at 2910 S Meridian, in the city of Puyallup, state of WA, with the zip code 983731585.
What is the area of specialization for Guillermo Enrique Chacon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Guillermo Enrique Chacon is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.
When did the Guillermo Enrique Chacon receive its 1619047511?
The Guillermo Enrique Chacon was issued its 1619047511 on 2006-11-08, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Guillermo Enrique Chacon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Guillermo Enrique Chacon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-04-10.