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Jeremy Chan
Student in an Organized Health Care Education/Training Program in Phoenix, Arizona
NPI 1699214262

Jeremy Chan is a Student in an Organized Health Care Education/Training Program based in Phoenix, AZ. Jeremy Chan practices in Phoenix, AZ. The NPI Number for Jeremy Chan is 1699214262 and holds a License No. 10020 (Arizona).

The current practice location address for Jeremy Chan is 475 E Bell Rd Ste 150, Phoenix, AZ and can be reached out via phone at 866-831-5116.

Location: 475 E Bell Rd Ste 150, Phoenix, AZ, 85022-3243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699214262
Provider Name
Jeremy Chan
Credential
Provider Entity Type
Individual
Gender
Male
Address
475 E Bell Rd Ste 150, Phoenix, AZ, 85022-3243
Phone Number
866-831-5116
Fax Number
Provider Enumeration Date
02/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
475 E Bell Rd Ste 150
City
Phoenix
State
Arizona
Zip
85022
Phone Number
866-831-5116
Fax Number
person
Provider Business Mailing Address Details
Address
475 E Bell Rd Ste 150
City
Phoenix
State
Arizona
Zip
85022
Phone Number
866-831-5116
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
10020 (Arizona)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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