Individual provider · Type 1 NPI

Michael H. Chan

Oral and Maxillofacial Surgery (Dentist) · Brooklyn, NY

NPI number 1093769317 Active

Practice location

800 Poly Pl
Brooklyn, NY 11209-7104

Call (718) 630-3651 Map

Mailing address

161 W 61st St
New York, NY 10023-7462

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X045149 (NY)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1093769317

Michael H. Chan's National Provider Identifier is 1093769317, issued on May 20, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 13, 2026.