Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609060649 Individual Practitioner Male Practitioner

Dr. Edwin Chicchon , DDS

Dentist - General Practice • Fremont, CA

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Chicchon, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fremont, CA. Practice services are available at 3200 MOWRY AVE STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3200 Mowry Ave Ste D

Fremont, CA 945381510

Telephone 5107138986
Fax 5107138068
Associated Practice Facility / Clinic
🏢 Edwin Chicchon Dds Inc Facility NPI 1710441092

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fremont, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
161 Specialists

Practicing in Fremont, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 48247

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address January 30, 2019

Registered at 3200 MOWRY AVE STE D, FREMONT, CA 945381510 (Tel: 5107138986)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2019

Dentist (License #48247 in CA)

NPI Profile Active September 04, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2007

Registered at 3200 MOWRY AVE STE D, FREMONT, CA 945381510 (Tel: 6502742765)

📍
Updated Business Mailing Address September 04, 2007

Registered at 39481 ZACATE AVE, FREMONT, CA 945393065 (Tel: 5107935427)

👤
Provider Name / Credentials Updated September 04, 2007

Recorded as EDWIN CHICCHON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2007

Dentist (License #48247 in CA)

🟢
Initial NPI Registration & Enumeration September 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609060649
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2007
Last Update: August 13, 2021
Sole Proprietor: No

Mailing Address

3200 Mowry Ave Ste D

Fremont, CA 945381510

Phone: 5107138986

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.