Individual provider · Type 1 NPI

Marc Huang Pan, D.M.D, MD

Oral and Maxillofacial Surgery (Dentist) · Bronx, NY

NPI number 1730406695 Active

Practice location

130 W Kingsbridge Rd
Bronx, NY 10468-3904

Mailing address

130 Garth Rd
Scarsdale, NY 10583-3750

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X059098 (NY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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 1730406695

Marc Huang Pan, D.M.D, MD's National Provider Identifier is 1730406695, issued on Apr 30, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bronx, NY. The record was last updated on Nov 17, 2017.