Chace Dental PL

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHACE DENTAL PL

Practice address

4479 N Harbor City Blvd
Melbourne, FL 32935-4800

Phone

(321) 242-3300

Fax

(321) 242-9393

NPI assigned

Apr 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer B Chace, DMDNPI 1114948601

Title

Dentist

Phone

(321) 242-3300

Specialties & licenses 1

Addresses

Other names 1

• Gentle Dental Associates Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Brennan Chace, D.M.D.

  • General Practice Dentistry
  • Melbourne, FL
  • NPI 1114948601

  General Practice

  NPD (past) Authorized official
• Gregory Russell Chace, D.M.D.

  • General Practice Dentistry
  • Melbourne, FL
  • NPI 1396766887

  General Practice

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1952529596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4479 N HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354800",
            "telephone_number": "321-242-3300",
            "fax_number": "321-242-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4479 N HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354800",
            "telephone_number": "321-242-3300",
            "fax_number": "321-242-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHACE DENTAL PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "CHACE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "321-242-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Florida Sports Medicine & Orthopaedic Center
• Central Florida Wellness LLC
• Century Oaks Serenity, LLC
• Michael J Ceranowski, PA-C, CAA
• Jefferey Cesare, MD
• Gregory Russell Chace, D.M.D.
• Jennifer Brennan Chace, D.M.D.
• Diana Chaitovitz, L.C.S.W.
• Tiara Chalk
• Diran Joseph Chamoun, MD

• All providers in Melbourne, FL
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.