Individual provider · Type 1 NPI

Jason Liddell Pan, DMD

General Practice Dentistry · Melrose, MA

NPI number 1508423591 Active · reactivated Jun 6, 2019

Practice location

985 Main St
Melrose, MA 02176-1913

Mailing address

94 Larchmont Rd
Melrose, MA 02176-2503

Other practice locations

  • 4100 W 3rd St, Dayton, OH 45428-9000 · (210) 293-7262

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN1858638 (MA)

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.

5 other providers at this address

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About NPI 1508423591

Jason Liddell Pan, DMD's National Provider Identifier is 1508423591, issued on May 24, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Melrose, MA. The record was last updated on Aug 26, 2020.