Individual provider · Type 1 NPI

Wallace Matthew Chan, DMD

General Practice Dentistry · New York, NY

NPI number 1386881605 Active

Practice location

1 Gustave Levy Place, Dental Department, Mount Sinai School Of Medicine
New York, NY 10029

Call (212) 241-9619 Map

Mailing address

2124 Crescent St, Apt. D6
Astoria, NY 11105-3374

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X054755 (NY)

General Practice Dentistry: 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.

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About NPI 1386881605

Wallace Matthew Chan, DMD's National Provider Identifier is 1386881605, issued on Jan 8, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in New York, NY. The record was last updated on Feb 9, 2010.