DR. WALLACE MATTHEW CHAN DMD NPI 1386881605

NPI Information

DR. Wallace Matthew Chan, DMD is a general practice dentist in New York, NY. The provider is 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. DR. Wallace Matthew Chan, DMD NPI is 1386881605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 GUSTAVE LEVY PLACE
DENTAL DEPARTMENT, MOUNT SINAI SCHOOL OF MEDICINE
NEW YORK, NY
ZIP 10029
Phone: (212) 241-9619

The enumeration date for this NPI number is 1/8/2009 and was last updated on 2/9/2010.

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:

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