Provider Demographics
NPI:1760936116
Name:CHOATE, CHANCE ANDREW (DDS, MSD)
Entity Type:Individual
Prefix:
First Name:CHANCE
Middle Name:ANDREW
Last Name:CHOATE
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7859 WALNUT HILL LN STE 275
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-5642
Mailing Address - Country:US
Mailing Address - Phone:214-361-4528
Mailing Address - Fax:
Practice Address - Street 1:7859 WALNUT HILL LN STE 275
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-5642
Practice Address - Country:US
Practice Address - Phone:214-361-4528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-14
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX319171223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics