=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912601642
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | YUNET DE LA CARIDAD CHAO PEREZ DMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/28/2023
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 523 WESTFIELD AVE
-----------------------------------------------------
City | ELIZABETH
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07208-1622
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-353-0900
-----------------------------------------------------
Fax | 908-353-0999
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 523 WESTFIELD AVE
-----------------------------------------------------
City | ELIZABETH
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07208-1622
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-574-1939
-----------------------------------------------------
Fax | 908-353-0999
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number | DN27857
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number | 22DI02971400
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------