Provider Demographics
NPI:1649698796
Name:CHASE DENTAL SLEEP CARE OF STUART LLC
Entity type:Organization
Organization Name:CHASE DENTAL SLEEP CARE OF STUART LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FRONT OFFICE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:NARVEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-335-3795
Mailing Address - Street 1:821 SE OCEAN BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2456
Mailing Address - Country:US
Mailing Address - Phone:772-283-4427
Mailing Address - Fax:772-288-5240
Practice Address - Street 1:821 SE OCEAN BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2456
Practice Address - Country:US
Practice Address - Phone:772-283-4427
Practice Address - Fax:772-288-5240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL187021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty