Organization Active NPI

Suebsanguan Chan Dental P.C

  • Dental Clinic/Center
  • New Rochelle, NY
National Provider Identifier
1245451350
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
049221 Issued in NY
Legal business name
SUEBSANGUAN CHAN DENTAL P.C
Practice address
175 Memorial Hwy
Suite 1-11
New Rochelle, NY 10801-5635
Phone
(914) 235-4330
Fax
(914) 235-2006
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dennis Chan, DDSNPI 1750374278
Title
Ownerdentist
Phone
(914) 235-4330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 049221 NY Primary

Addresses

Primary practice location

175 Memorial Hwy
Suite 1-11
New Rochelle, NY 10801-5635

Mailing address

175 Memorial Hwy
Suite 1-11
New Rochelle, NY 10801-5635
Phone (914) 235-4330

Other names 1

  • Smile Dental of New Rochelle Doing business as

National Provider Directory

National Provider Directory

Locations

175 Memorial Hwy
Ste 1-11
New Rochelle, NY 10801
Phone (914) 235-4330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1245451350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MEMORIAL HWY",
            "address_2": "SUITE 1-11",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015635",
            "telephone_number": "914-235-4330",
            "fax_number": "914-235-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MEMORIAL HWY",
            "address_2": "SUITE 1-11",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015635",
            "telephone_number": "914-235-4330",
            "fax_number": "914-235-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUEBSANGUAN CHAN DENTAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNERDENTIST",
        "authorized_official_telephone_number": "914-235-4330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "049221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Dental of New Rochelle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.