Dr Guillermo Enrique Chacon, DDS | |
2910 S Meridian, Suite 120, Puyallup, WA 98373-1585 | |
(253) 445-0022 | |
(253) 445-0979 |
Full Name | Dr Guillermo Enrique Chacon |
---|---|
Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2910 S Meridian, Puyallup, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619047511 | NPI | - | NPPES |
2237985 | Medicaid | WA | |
311203750028 | Other | OH | CARESOURCE |
2237985 | Other | OH | BCMH |
CH4046621 | Other | WA | MEDICARE ID TYPE UNSPECIFIED PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE 60063175 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Guillermo Enrique Chacon, DDS 2910 S Meridian, Suite 120, Puyallup, WA 98373-1585 Ph: (253) 445-0022 | Dr Guillermo Enrique Chacon, DDS 2910 S Meridian, Suite 120, Puyallup, WA 98373-1585 Ph: (253) 445-0022 |
Angela Leigh Dunn, DDS Dentist Medicare: Medicare Enrolled Practice Location: 8012 112th Street Ct E, Suite #320, Puyallup, WA 98373 Phone: 253-848-2331 Fax: 253-840-4033 | |
Dr. Philip Werner Kaiser, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 16810 Meridian E, Suite J107, Puyallup, WA 98375 Phone: 253-848-7777 | |
Dr. Gibran Hyder, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8012 112th Street Ct E Ste 320, Puyallup, WA 98373 Phone: 253-848-2331 | |
Dr. Theressa Mah, DMD Dentist Medicare: Medicare Enrolled Practice Location: 10228 156th St E Ste 101, Puyallup, WA 98374 Phone: 253-840-0540 | |
Dr. Ching Ju Chuang, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 Phone: 253-200-0695 | |
Dr. Violeta Atanasova Stoyanova, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12005 Meridian E Ste 102, Puyallup, WA 98373 Phone: 253-214-9293 | |
Nicolette Ann Hecita Bulaon, DMD Dentist Medicare: Medicare Enrolled Practice Location: 16810 Meridian E Ste J107, Puyallup, WA 98375 Phone: 253-848-7777 |