person
Dr. Patrick Kiu Tao Chan, DMD
Oral and Maxillofacial Surgery (Dentist) in Boston, Massachusetts
NPI 1780722017

Patrick Kiu Tao Chan is a Oral and Maxillofacial Surgery (Dentist) based in Boston, MA and is specialized in Oral and Maxillofacial Surgery. Patrick Kiu Tao Chan practices in Boston, MA and has the professional credentials of DMD. The NPI Number for Patrick Kiu Tao Chan is 1780722017 and holds a License No. 049683 (Massachusetts).

The current practice location address for Patrick Kiu Tao Chan is 136 Lincoln St, Boston, MA and can be reached out via phone at 617-451-2111.

Location: 136 Lincoln St, Boston, MA, 02111-2506
person
Provider Profile Details
NPI Number
1780722017
Provider Name
Patrick Kiu Tao Chan
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
136 Lincoln St, Boston, MA, 02111-2506
Phone Number
617-451-2111
Fax Number
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
405764200 05 MO
institution
Provider Business Practice Location Address Details
Address
136 Lincoln St
City
State
Zip
02111-2506
Phone Number
617-451-2111
Fax Number
person
Provider Business Mailing Address Details
Address
136 Lincoln St
City
State
Zip
02111-2506
Phone Number
617-451-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
049683 (New York)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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