MEDICARE: DR. ROBERT ALAN CHOD 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	1223D0001X	Public Health Dentistry	HD 1-00470	CO
2	1223D0001X	Public Health Dentistry	DN 16239	FL

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	:	1609914753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ALAN CHOD D.D.S.

Provider Business Mailing Address
First Line	:	6526 VIA VICENZA
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-3740
Country	:	US
Telephone Number	:	561-310-0497
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 CLEMATIS ST
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5107
Country	:	US
Telephone Number	:	561-837-5560
Fax Number	:

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

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	02/18/2013

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