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Individual

DR. BRIAN J CHASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
8454 MN-7, ST LOUIS PARK, MN 55426
(617) 895-7348
Mailing address
6913 MCCAULEY TRL S, EDINA, MN 55439-1068
(617) 895-7348

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
R820
MN
1223P0300X
Periodontics
Primary
D15038
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D15038
DENTAL
MN
01
R820
MINNESOTA STATE DENTAL BOARD
MN
Enumeration date
07/16/2013
Last updated
01/14/2026
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