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General NPI Number Information
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NPI Number | 1003940610
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Entity Type | Organization
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Legal Business Name | CHESTNUT DENTAL ASSOCIATES, PC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 319 E CHESTNUT ST
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City | COATESVILLE
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State | PA
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Zip | 19320-3202
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Country | US
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Telephone | 610-384-2320
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Fax | 610-384-7961
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Provider Business Mailing Address
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Address Line | 319 E CHESTNUT ST
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City | COATESVILLE
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State | PA
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Zip | 19320-3202
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Country | US
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Telephone | 610-384-2320
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Fax | 610-384-7961
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. CARL J. HORCHOS
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Credential | DDS
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Telephone | 610-384-2320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 027564
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 027535
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License Number State | PA
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