Dr. Jason L Pan, DMD
Dentist, General Practice in Melrose, Massachusetts
1508423591- Practice location
- 985 Main St, Melrose, MA 02176-1913
- Phone
- 781-665-5190
- Fax
- —
- Last updated
- August 26, 2020
Jason Liddell Pan is a Dentist, General Practice based in Melrose, MA. Jason Liddell Pan practices in Melrose, MA and has the professional credentials of DMD. The NPI Number for Jason Liddell Pan is 1508423591 and holds a License No. DN1858638 (MA). The current practice location address for Jason Liddell Pan is 985 Main St, Melrose, MA 02176-1913 and can be reached out via phone at 781-665-5190.
Provider Profile Details
- NPI Number
- 1508423591
- Provider Name
- Jason Liddell Pan
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 985 Main St, Melrose, MA 02176-1913
- Phone Number
- 781-665-5190
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 24, 2019
- Last Update Date
- August 26, 2020
- Certification Date
- August 26, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 985 Main St
Melrose, MA 02176-1913 - City
- Melrose
- State
- Massachusetts
- Zip
- 02176-1913
- Phone Number
- 781-665-5190
Provider Business Mailing Address Details
- Address
- 94 Larchmont RD
Melrose, MA 02176-2503 - City
- Melrose
- State
- MA
- Zip
- 02176-2503
- Phone Number
- 617-272-5677
License Information
- License Number
- DN1858638
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jason L Pan, DMD?
The NPI number of Dr. Jason L Pan, DMD is 1508423591. It was assigned on May 24, 2019 and is currently active in the NPPES registry.
What is the specialty of Dr. Jason L Pan, DMD?
Dr. Jason L Pan, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1858638.
Where does Dr. Jason L Pan, DMD practice?
The practice location is 985 Main St, Melrose, MA 02176-1913. The office can be reached at 781-665-5190 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508423591 directly on the NPPES registry website.