Elton Chan in Brooklyn - Pediatric Dentistry

Elton Chan - NPI 1245408343

Elton Chan is a Pediatric Dentistry in Brooklyn, New York. Elton Chan practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Elton Chan is 1245408343. The last update date is 2016-03-15.

Elton Chan's current location address is 757 60th St, Brooklyn, New York. You can contact this provider via phone number 7185679000 and fax number 7185679003. The mailing address for Elton Chan is 757 60th St, Brooklyn, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Elton Chan
Address 757 60th St, Brooklyn, New York
Phone Number 7185679000
Fax Number 7185679003
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1245408343
Provider Enumeration Date 2008-02-12
Last Updated Date 2016-03-15

Provider Mailing Address Detail

Address 757 60th St
City Brooklyn
State New York (NY)
Post Code 112204209
Phone Number 7185679000
Fax Number 7185679003

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 51298
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2809956 NY --
9198888 NY DORAL DENTAL

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FAQs about Elton Chan

What is the Elton Chan's unique identification number?

The Elton Chan has been assigned the NPI (National Provider Identifier) Number 1245408343 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Elton Chan is physically located?

The Elton Chan is situated at the following address: 757 60Th St, Brooklyn, NY 112204209.

What is Elton Chan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Elton Chan's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.

On what date did the Elton Chan receive the assignment of its 1245408343 from the Centers for Medicare & Medicaid Services?

The Elton Chan was issued its 1245408343 by the Centers for Medicare & Medicaid Services on 2008-02-12.

When was the information regarding Elton Chan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Elton Chan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-03-15.

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