Dr. 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.