Chase, Ethan D
Chase, Ethan D is an individual health care provider with primary practice located at Corner Of Route N12 And N7 , Fort Defiance AZ 86504. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chase, Ethan D can be contacted via phone (928) 729-8000.Contact Information
Primary practice address
Corner Of Route N12 And N7
Fort Defiance AZ 86504
Phone: (928) 729-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 04893 | New Hampshire |
| Dental Providers / General Practice | 1223G0001X | 19348 | Massachusetts |
Profile Details
| NPI number | 1720479892 |
|---|---|
| LBN Legal business name | Chase, Ethan D |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2015 |
| Last updated | Dec 1st, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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