Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Chase Waller, DMD

Individual provider General Practice Dentistry · NPI 1508611146

Dr. Chase Waller, DMD is a General Practice Dentistry in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2024.

Licensed in
NC
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2643 Randleman Rd
Greensboro, NC 27406-5153
Phone: (336) 544-2758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 13860 (NC)

Record details

NPI number1508611146
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 18, 2024
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024

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