Provider Demographics
NPI:1386778371
Name:DRS CHACE, HORVAT & COHEN, P.L.C.
Entity type:Organization
Organization Name:DRS CHACE, HORVAT & COHEN, P.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHACE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:407-644-4404
Mailing Address - Street 1:801 W MORSE BLVD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-3708
Mailing Address - Country:US
Mailing Address - Phone:407-644-4404
Mailing Address - Fax:407-628-3910
Practice Address - Street 1:801 W MORSE BLVD
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-3708
Practice Address - Country:US
Practice Address - Phone:407-644-4404
Practice Address - Fax:407-628-3910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty