Provider Demographics
NPI:1568963130
Name:PATRICIA T CHAO DDS INC
Entity Type:Organization
Organization Name:PATRICIA T CHAO DDS INC
Other - Org Name:CHAO DENTAL STUDIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:T
Authorized Official - Last Name:CHAO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-554-1100
Mailing Address - Street 1:1100 SCOTT BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4515
Mailing Address - Country:US
Mailing Address - Phone:408-554-1100
Mailing Address - Fax:408-554-1131
Practice Address - Street 1:1100 SCOTT BLVD
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4515
Practice Address - Country:US
Practice Address - Phone:408-554-1100
Practice Address - Fax:408-554-1131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-28
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65000261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental