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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GUILLERMO ENRIQUE CHACON, D.D.S.

Active Sole Proprietor

DR. GUILLERMO ENRIQUE CHACON, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in PUYALLUP, Washington. NPI 1619047511 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · PUYALLUP, WA

Registration Details

NPI Number
1619047511
Provider Type
Individual
Gender
Male
NPI Issued
Nov 8, 2006 (19.728328194583 yrs)
Last Updated
Apr 10, 2017
License
DE 60063175 (WA)
Sole Proprietor
Yes

Practice Information

Address
2910 S MERIDIAN
SUITE 120
PUYALLUP, WA, 983731585
Browse WA providers · Browse ZIP 98373
Phone
2534450022
Fax
2534450979
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in PUYALLUP, WA

Name Credential NPI
DR. WALTER FOMBIN FOTO BDS DMD 1215038716
DR. KRISTINE LAZAR GRACE DDS, MS 1407978281
DR. PHILIP WERNER KAISER DDS 1013174168
DR. BRYAN MICHAEL SWANSON DDS 1518301951
JOSEPH KANG DDS 1952968356
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.