Individual provider · Type 1 NPI

Chase Waller, DMD

General Practice Dentistry · Greensboro, NC

NPI number 1508611146 Active

Practice location

2643 Randleman Rd
Greensboro, NC 27406-5153

Mailing address

2640 S University Dr Apt 217
Davie, FL 33328-1477

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X13860 (NC)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1508611146

Chase Waller, DMD's National Provider Identifier is 1508611146, issued on Apr 18, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Greensboro, NC. The record was last updated on Jul 11, 2024.