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General NPI Number Information
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NPI Number | 1518582881
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Entity Type | Individual
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Provider Name | DAVID CHUBB BDS
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Gender | Male
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Dates
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Enumeration Date | 06/12/2020
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 254 WESTERN AVE
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-2410
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Country | US
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Telephone | 207-774-5527
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 CAMBRIDGE ST STE 6150
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City | HOUSTON
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State | TX
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Zip | 77054-2032
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Country | US
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Telephone | 713-486-4052
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DEN5276
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License Number State | ME
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