| Dr Jose Antonio Chacon, | |
|
5875 Landerbrook Dr Ste 250, Mayfield Hts, OH 44124-6502 | |
| (800) 487-4867 | |
| (216) 593-7533 |
| Full Name | Dr Jose Antonio Chacon |
|---|---|
| Gender | Male |
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5875 Landerbrook Dr Ste 250, Mayfield Hts, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649342064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 019-026092 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jose Antonio Chacon, 125 E 13th St, # 1405, Chicago, IL 60605-2655 Ph: (312) 834-0521 | Dr Jose Antonio Chacon, 5875 Landerbrook Dr Ste 250, Mayfield Hts, OH 44124-6502 Ph: (800) 487-4867 |
Dr. Scott Futch, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 5875 Landerbrook Dr Ste 250, Mayfield Hts, OH 44124 Phone: 800-487-4867 Fax: 216-593-7533 | |
Dr. Natalie Stelzer, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5875 Landerbrook Dr Ste 250, Mayfield Hts, OH 44124 Phone: 800-487-4867 Fax: 216-593-7533 | |
Dr. Bharat Chauhan, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5875 Landerbrook Dr Ste 250, Mayfield Hts, OH 44124 Phone: 800-487-4867 Fax: 216-593-7533 | |
Dr. Bryan J Veal, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5875 Landerbrook Dr Ste 250, Mayfield Hts, OH 44124 Phone: 800-487-4867 Fax: 216-593-7533 | |
Randall Mcclary, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5875 Landerbrook Dr Ste 250, Mayfield Hts, OH 44124 Phone: 800-487-4867 Fax: 216-593-7533 | |
Michael Kramer, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5875 Landerbrook Dr Ste 250, Mayfield Hts, OH 44124 Phone: 800-487-4867 Fax: 216-593-7533 | |
Dr. Stacey Alston, Dentist Medicare: Medicare Enrolled Practice Location: 5875 Landerbrook Dr Ste 250, Mayfield Hts, OH 44124 Phone: 800-487-4867 Fax: 216-593-7533 |