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NPI Code Detail

MEDICARE: CHANCE ANDREW CHOATE D.D.S., M.S.D.

MEDICARE:   CHANCE ANDREW CHOATE  D.D.S., M.S.D.
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry31917TX

General Provider Information

NPI Number : 1760936116
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANCE ANDREW CHOATE D.D.S., M.S.D.
Provider Business Mailing Address
First Line : 7859 WALNUT HILL LN STE 275
Second Line :
City : DALLAS
State : TX
Zip : 75230-5642
Country : US
Telephone Number : 214-361-4528
Fax Number :
Provider Business Practice Location Address
First Line : 7859 WALNUT HILL LN STE 275
Second Line :
City : DALLAS
State : TX
Zip : 75230-5642
Country : US
Telephone Number : 214-361-4528
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2016
Last Update Date : 04/08/2024

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Directions to “ CHANCE ANDREW CHOATE D.D.S., M.S.D.” Practice Location

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