Von Chan, D.D.S., INC

General Practice Dentistry · Petaluma, CA

Individual Active NPI

NPI number 1922027440

Practice location

1416 Professional Dr
Ste. #201
Petaluma, CA 94954-5108
Phone
(707) 763-2682
Fax
(707) 763-4998

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NPI record

NPI
1922027440
Entity type
Individual (Type 1)
Enumeration date
July 18, 2006
Last updated
October 9, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 46650 CA

About Dr. Chan

Von Chan, D.D.S., INC is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1416 Professional Dr, Ste. #201, Petaluma, CA 94954-5108. The NPI number 1922027440 was assigned on July 18, 2006 and the record was last updated on October 9, 2008.

Dr. Chan lists a license in the registry: #46650 (CA) 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 Von Chan, D.D.S., INC?

The NPI number is 1922027440.

What is the phone number of Dr. Chan?

The phone number listed for the practice location is (707) 763-2682.

Where is Dr. Chan located?

1416 Professional Dr, Ste. #201, Petaluma, CA 94954-5108.

What is the taxonomy code for Dr. Chan?

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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