Ken Chan DDS Inc

General Practice Dentistry · Merced, CA

Organization Active NPI

NPI number 1043624844

Practice location

1176 Olivewood Dr
Merced, CA 95348-1210
Phone
(209) 600-7123
Fax
(209) 349-8077

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NPI record

NPI
1043624844
Entity type
Organization (Type 2)
Enumeration date
June 19, 2014
Last updated
June 19, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 45436 CA

Authorized official

Name
Ken Chan, DDS
Title
President
Phone
(209) 600-7123

About Ken Chan DDS Inc

Ken Chan DDS Inc is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1176 Olivewood Dr, Merced, CA 95348-1210. The NPI number 1043624844 was assigned on June 19, 2014 and the record was last updated on June 19, 2014.

Ken Chan DDS Inc lists a license in the registry: #45436 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Ken Chan, DDS, President.

Frequently asked questions

What is the NPI number of Ken Chan DDS Inc?

The NPI number is 1043624844.

What is the phone number of Ken Chan DDS Inc?

The phone number listed for the practice location is (209) 600-7123.

Where is Ken Chan DDS Inc located?

1176 Olivewood Dr, Merced, CA 95348-1210.

What is the taxonomy code for Ken Chan DDS Inc?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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