DR. GREGORY RUSSELL CHACE (NPI# 1396766887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396766887 |
| Entity Type | Individual |
| Full Name | DR. GREGORY RUSSELL CHACE |
| Credential | D.M.D. |
| Practice Address |
4479 N Harbor City Blvd Suite 5 Melbourne FL 32935-4800 |
| Mailing Address |
4479 N Harbor City Blvd Melbourne FL 32935-4800 |
| Practice Telephone | 3212423300 |
| Practice Fax Number | 3212429393 |
| Mailing Telephone | 3212423300 |
| Mailing Fax Number | 3212429393 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2016-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN17650 | FL | Dental Providers |
| Street Address |
4479 N HARBOR CITY BLVD SUITE 5 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952529596 | Chace Dental Pl | Dentist | 4479 N Harbor City Blvd, Melbourne, FL 32935-4800 | 2007-04-20 |
| 1114948601 | Jennifer Brennan Chace | Dentist | 4479 N Harbor City Blvd, Melbourne, FL 32935-4800 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891268413 | Dynamic Dental Health Associates of Florida Pa | Dentist | 2419 S Babcock St, Melbourne, FL 32901-5310 | 2019-01-07 |
| 1558840371 | Professional Dental Alliance of Lake Washington, Pllc | Dentist | 3226 Lake Washington Rd Ste 16, Melbourne, FL 32934-7620 | 2018-08-13 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| 1295264232 | Christian Vidalon | Dentist | 7827 N Wickham Rd Ste C, Melbourne, FL 32940-8289 | 2017-06-04 |
| 1851750426 | Derek Chenet | Dentist | 7331 Office Park Pl Ste 100, Melbourne, FL 32940-8238 | 2016-02-11 |
| 1659770725 | New Image Dentistry of West Melbourne | Dentist | 2025 W New Haven Ave, Melbourne, FL 32904-3801 | 2014-08-14 |
| 1922413046 | Alfredo Enrique Torras Ceballos | Dentist | 6555 N Wickham Rd Ste 106, Melbourne, FL 32940 | 2014-06-26 |
| 1275880742 | Natalia Valderrama Dougherty | Dentist | 903 Jordan Blass Dr Ste 102, Melbourne, FL 32940-1325 | 2012-08-14 |
| 1306118674 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2900 Lake Washington Rd Ste 2, Melbourne, FL 32935-3400 | 2012-02-02 |
| 1952696007 | Daniel Warren Eley | Dentist | 2301 W Eau Gallie Blvd, Suite 102, Melbourne, FL 32935-3120 | 2011-06-16 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.