Individual provider · Type 1 NPI
Micah Chan, DMD, M.S.
Periodontics · Richfield, MN
NPI number
1083083323
Active
Practice location
6601 Lyndale Ave S
Richfield, MN 55423-2477
Mailing address
8301 Stanley Rd, Apt #114
Bloomington, MN 55437-1282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | S99 (MN) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1083083323
Micah Chan, DMD, M.S.'s National Provider Identifier is 1083083323, issued on Sep 16, 2015. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Richfield, MN. The record was last updated on Sep 16, 2015.