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

Dr. Ethan D Chase, DMD

Individual provider General Practice Dentistry · NPI 1720479892

Dr. Ethan D Chase, DMD is a Dentist in Fort Defiance, Arizona. Graduated from Boston Univ Goldman School of Dental Medicine in 1997, 29 years ago. Licensed in Massachusetts and New Hampshire.

Years since qualifying
29
Trained at
Boston Univ Goldman School of Dental Medicine
Licensed in
MA, NH
In the registry since
2015
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

Corner Of Route N12 And N7
Fort Defiance, AZ 86504
Phone: (928) 729-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 04893 (NH)
General Practice Dentistry Taxonomy 1223G0001X · Licence 19348 (MA)

Record details

NPI number1720479892
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 11, 2015
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025
Mailing addressPo Box 649, Fort Defiance, AZ 86504-0649

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolBOSTON UNIV GOLDMAN SCHOOL OF DENTAL MEDICINE
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Fort Defiance