Alan Pan, DMD

General Practice Dentistry · Providence, RI

Individual Active NPI

NPI number 1053465443

Practice location

16 Bridge St
Corliss Landing
Providence, RI 02903-4362
Phone
(401) 861-5600
Fax
(401) 861-5603

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NPI record

NPI
1053465443
Entity type
Individual (Type 1)
Enumeration date
January 22, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 02912 RI
General Practice Dentistry 1223G0001X 21064 MA

About Dr. Pan

Alan Pan, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 16 Bridge St, Corliss Landing, Providence, RI 02903-4362. The NPI number 1053465443 was assigned on January 22, 2007 and the record was last updated on July 8, 2007.

Dr. Pan lists 2 licenses in the registry: #02912 (RI) for General Practice Dentistry; #21064 (MA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alan Pan, DMD?

The NPI number is 1053465443.

What is the phone number of Dr. Pan?

The phone number listed for the practice location is (401) 861-5600.

Where is Dr. Pan located?

16 Bridge St, Corliss Landing, Providence, RI 02903-4362.

What is the taxonomy code for Dr. Pan?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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