Provider Demographics
NPI:1851099626
Name:CHASE PATTON DDS LLC
Entity Type:Organization
Organization Name:CHASE PATTON DDS LLC
Other - Org Name:CHASE PATTON DDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:573-818-4325
Mailing Address - Street 1:3005 FALLING LEAF CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-3549
Mailing Address - Country:US
Mailing Address - Phone:573-875-7040
Mailing Address - Fax:
Practice Address - Street 1:3005 FALLING LEAF CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-3549
Practice Address - Country:US
Practice Address - Phone:573-875-7040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-21
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies