Chan Orthodontic Dentistry LLC

Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Cumberland, RI

NPI 1013483981 · NPPES record last updated Oct 18, 2018

Key facts

NPI
1013483981
Entity type
Organization (NPI type 2)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
Legal business name
CHAN ORTHODONTIC DENTISTRY LLC
Practice address
2359 Mendon Rd
Cumberland, RI 02864-3707
Phone
(401) 334-3070
Fax
(401) 334-9031
NPI assigned
Oct 18, 2018
Organization subpart
Yes
Parent organization (as reported)
WILLIAM B. CHAN DMD, INC.

Authorized official

Name
Mrs. Tina Matos
Title
Bookkeeper
Phone
(401) 334-3070

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

National Provider Directory

Part of
William B Chan DMD Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223X0400X Yes

Addresses

Primary practice location

2359 Mendon Rd
Cumberland, RI 02864-3707

Mailing address

2359 Mendon Rd
Cumberland, RI 02864-3707
Phone (401) 334-3070

Other providers in Cumberland, RI

All providers in Cumberland, RI · Orthodontics and Dentofacial Orthopedics Dentistry in Rhode Island

Sources for this page

Verify at the official NPI Registry.