Individual
DR. CHELSEY CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
787 W LUMSDEN RD, BRANDON, FL 33511-6261
(813) 684-7888
Mailing address
1983 ORANGE CT, DUNEDIN, FL 34698-9423
(224) 247-8623
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
PENDINGAPPLICATION
FL
Other
Enumeration date
05/16/2026
Last updated
05/16/2026
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