Provider Demographics
NPI:1194618942
Name:CHACHO DDS, PLLC
Entity type:Organization
Organization Name:CHACHO DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:CHACHO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-915-5552
Mailing Address - Street 1:6025 S QUEBEC ST STE 180
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4577
Mailing Address - Country:US
Mailing Address - Phone:720-488-6600
Mailing Address - Fax:
Practice Address - Street 1:6025 S QUEBEC ST STE 180
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-4577
Practice Address - Country:US
Practice Address - Phone:720-488-6600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental