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KENNETH K. CHAN DDS A PROFESSIONAL CORPORATION NPI 1043406853


NPI Information

NPI: 1043406853
Provider Name: KENNETH K. CHAN, DDS, A PROFESSIONAL CORPORATION

Doing Business As: HEALTHY SMILE FAMILY DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1315 FAIR OAKS AVE
SUITE 103
SOUTH PASADENA, CA
ZIP 91030
Phone: (626) 799-8068
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KENNETH K. CHAN, DDS, A PROFESSIONAL CORPORATION is a dental clinic center in South Pasadena, CA. KENNETH K. CHAN, DDS, A PROFESSIONAL CORPORATION NPI is 1043406853. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthy Smile Family Dentistry.

The provider's business location address is:

1315 FAIR OAKS AVE
SUITE 103
SOUTH PASADENA, CA
ZIP 91030-868
Phone: (626) 799-8068
Fax: (626) 799-8069

The provider's authorized official is Kenneth Ka Chan .
The authorized official title is Dentist and has the following contact phone number (626) 799-8068.

The enumeration date for this NPI number is 9/15/2007 and was last updated on 9/15/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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