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NPI Code Detail

MEDICARE: DR. CHESTER Y HSU D.D.S.

MEDICARE: DR. CHESTER Y HSU 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
11223P0221XPediatric Dentistry11660NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1B45877OTHERCASTATE LICENSE #
2D45877OTHERCADDHF PROVIDER #
3G92444-01OTHERCAMEDI-CAL PROVIDER #

General Provider Information

NPI Number : 1891892584
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHESTER Y HSU D.D.S.
Provider Business Mailing Address
First Line : 7807 FRONT NINE DR
Second Line :
City : STOKESDALE
State : NC
Zip : 27357-9407
Country : US
Telephone Number : 916-761-6455
Fax Number :
Provider Business Practice Location Address
First Line : 2643 RANDLEMAN RD
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-5153
Country : US
Telephone Number : 336-544-2758
Fax Number : 910-338-3031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2006
Last Update Date : 01/22/2021

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