NPI 1710136155 · live from the CMS NPI Registry
Jonathan Chase, D.D.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Stoneham, MA. National Provider Identifier 1710136155, active.
NPI record
| NPI | 1710136155 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 61 Main St, Stoneham, MA 02180 |
| Practice phone | 781-438-2100 |
| Enumerated | September 10, 2008 |
| Last updated | September 10, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 17009 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.