MEDICARE: DR. JAMIE A CHIANG-MCCASLAND D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	19992	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417160151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMIE A CHIANG-MCCASLAND D.D.S

Provider Business Mailing Address
First Line	:	6555 N MESA ST
Second Line	:	N. MESA ST
City	:	EL PASO
State	:	TX
Zip	:	79912-4417
Country	:	US
Telephone Number	:	915-584-5457
Fax Number	:	915-845-2286

Provider Business Practice Location Address
First Line	:	6555 N MESA ST
Second Line	:	N. MESA ST
City	:	EL PASO
State	:	TX
Zip	:	79912-4417
Country	:	US
Telephone Number	:	915-584-5457
Fax Number	:	915-845-2286

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	10/21/2022

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