Individual
DANNY CHACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1047 S HIGHWAY 25 W # SOUTH, WILLIAMSBURG, KY 40769-1639
(606) 765-6080
Mailing address
107 S MAIN ST, JELLICO, TN 37762-2154
(423) 784-8492
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS004277
TN
Other
Enumeration date
01/22/2009
Last updated
07/25/2024
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