Dr. Chelsey Chacko, DMD
Dentist, General Practice in Brandon, FL. Individual provider (NPI-1).
NPI number1063341964
StatusActive
Last updated in NPPESMay 16, 2026
Details
- NPI
- 1063341964
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chelsey Chacko
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 16, 2026
- Certification date
- May 16, 2026
- Last updated
- May 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | PENDINGAPPLICATION | FL | Yes |
Practice location
787 W Lumsden RdBrandon, FL 33511-6261
Phone 813-684-7888
Mailing address
1983 Orange CtDunedin, FL 34698-9423
Phone 224-247-8623
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