Individual provider · Type 1 NPI

Eric Justin Chan, DMD, MD

Dentist · New York, NY

NPI number 1871295352 Active

Practice location

180 Fort Washington Ave
New York, NY 10032-3722

Call (347) 553-6278 Map

Mailing address

630 W 168th St # 7-201
New York, NY 10032-3725

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist Primary 122300000X22DI03037300 (NJ)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1871295352

Eric Justin Chan, DMD, MD's National Provider Identifier is 1871295352, issued on Mar 20, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in New York, NY. The record was last updated on Sep 19, 2026.