Chacon, Omar

Chacon, Omar is an individual health care provider with primary practice located at 5700 Sw 97Th St , Pinecrest FL 33156-2058. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Chacon, Omar can be contacted via phone (787) 731-6622.

Contact Information

Primary practice address
5700 Sw 97Th St Pinecrest FL 33156-2058
Phone: (787) 731-6622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN25563 Florida

Profile Details

NPI number 1992093454
LBN Legal business name Chacon, Omar
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2011
Last updated Jun 15th, 2021 - about 3 years ago

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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