Individual provider · Type 1 NPI
Patrick Kiu Tao Chan, DMD
Oral and Maxillofacial Surgery (Dentist) · Boston, MA
NPI number
1780722017
Active
Practice location
136 Lincoln St
Boston, MA 02111-2506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 049683 (NY) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 20034 (MA) |
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 1780722017
Patrick Kiu Tao Chan, DMD's National Provider Identifier is 1780722017, issued on Feb 1, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Boston, MA. The record was last updated on Apr 14, 2018.