Healthcare Provider Details

I. General information

NPI: 1043135569
Provider Name (Legal Business Name): SEAN CHASNEY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIR COLORADO SPRINGS, CO 80913
APO AA
80913
US

IV. Provider business mailing address

EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIR COLORADO SPRINGS, CO 80913
APO AA
80913
US

V. Phone/Fax

Practice location:
  • Phone: 719-526-5400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number12014985A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: