Provider Demographics
NPI:1982825378
Name:CHASEN, JOEL B (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:B
Last Name:CHASEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:546 S BROAD ST
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450-6600
Mailing Address - Country:US
Mailing Address - Phone:203-237-7449
Mailing Address - Fax:203-237-1234
Practice Address - Street 1:546 S BROAD ST
Practice Address - Street 2:SUITE 3B
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-6600
Practice Address - Country:US
Practice Address - Phone:203-237-7449
Practice Address - Fax:203-237-1234
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2020-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0090311223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics