# JOHN CHAKLOS JR LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144747601
- **Authorized official:** DR. JOHN C CHAKLOS JR. DMD (SOLE MEMBER)
- **Authorized official phone:** (412) 682-4747

## Contact information

- **Practice address:** 229 ATWOOD ST, PITTSBURGH, PA 15213-4052
- **Practice address phone:** (412) 682-4747
- **Practice address fax:** (412) 682-4747
- **Mailing address:** 1004 COUNTRY CLUB RD, JEANNETTE, PA 15644-4761
- **Mailing address phone:** (412) 682-4747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS-019209-L | PA | Yes |

## Other

- **Enumeration date:** 08/25/2017
- **Last updated:** 08/25/2017