Dr. Guillermo Enrique Chacon
D.D.S. | Oral and Maxillofacial Surgeon
2910 S Meridian, Suite 120, Puyallup
Washington, 98373-1585
253-445-0022 253-445-0979
Maps & DirectionsDr. Guillermo Enrique Chacon is a Puyallup, Washington based Oral and Maxillofacial Surgeon who is specialized in
Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Guillermo Enrique Chacon is
DE 60063175 for Oral and Maxillofacial Surgery in Washington. His current practice location is
2910 S Meridian, Suite 120, Puyallup. Patients can reach him at
253-445-0022.
Dr. Guillermo Enrique Chacon deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Dr. Guillermo Enrique Chacon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Guillermo Enrique Chacon |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2910 S Meridian, Suite 120, Puyallup,
Washington, 98373-1585 |
| Phone: | 253-445-0022 |
| Fax: | 253-445-0979 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1619047511 |
| NPI Enumeration Date: | 08 Nov, 2006 |
| NPI Last Update On: | 10 Apr, 2017 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Guillermo Enrique Chacon are as mentioned below.
| License Number | Specialization | State | Status | |
| DE 60063175 | Oral and Maxillofacial Surgery | Washington | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Guillermo Enrique Chacon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2237985 | Medicaid | Washington | |
| 311203750028 | Other | Ohio | CARESOURCE |
| 2237985 | Other | Ohio | BCMH |
| CH4046621 | Other | Washington | MEDICARE ID TYPE UNSPECIFIED PROVIDER |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2910 S Meridian, Suite 120
Puyallup, Washington |
| Zip: | 98373-1585 |
| Phone Number: | 253-445-0022 |
| Fax Number: | 253-445-0979 |
Patients can reach Dr. Guillermo Enrique Chacon at
2910 S Meridian, Suite 120, Puyallup, Washington or can
call to book an appointment on 253-445-0022.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.