Provider Demographics
NPI:1487743944
Name:CHESSON, JOHN CHADWICK (DDS)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:CHADWICK
Last Name:CHESSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5131 SOUTH FRY RD
Mailing Address - Street 2:STE 800
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450
Mailing Address - Country:US
Mailing Address - Phone:281-944-4500
Mailing Address - Fax:281-944-4505
Practice Address - Street 1:5131 SOUTH FRY RD
Practice Address - Street 2:STE 800
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450
Practice Address - Country:US
Practice Address - Phone:281-944-4500
Practice Address - Fax:281-944-4505
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice