Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc in Andover - Orthodontics And Dentofacial Orthopedics
Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc - NPI 1649450552
Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc is a Orthodontics And Dentofacial Orthopedics in Andover, Massachusetts. Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc is 1649450552. The last update date is 2007-11-07.
Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc's current location address is 16 N Main St, Andover, Massachusetts. You can contact this provider via phone number 9784752222 and fax number 9784752290. The mailing address for Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc is 16 N Main St, Andover, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc |
|---|---|
| Address | 16 N Main St, Andover, Massachusetts |
| Phone Number | 9784752222 |
| Fax Number | 9784752290 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Chen Ivy |
| Credentials | DDS, MMSC |
| Telephone Number | 9784752222 |
NPI Number Detail
| NPI Number | 1649450552 |
|---|---|
| Provider Enumeration Date | 2007-11-07 |
| Last Updated Date | 2007-11-07 |
Provider Mailing Address Detail
| Address | 16 N Main St |
|---|---|
| City | Andover |
| State | Massachusetts (MA) |
| Post Code | 18106518 |
| Phone Number | 9784752222 |
| Fax Number | 9784752290 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 20548 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique 10-digit identifier code issued to Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc by the Centers for Medicare & Medicaid Services?
The Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc has been assigned the NPI (National Provider Identifier) 1649450552 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc?
The Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc is situated at 16 N Main St, in the city of Andover, state of MA, with the zip code 18106518.
What is the Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc's area of specialization and corresponding taxonomy classification?
The Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649450552 to Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1649450552 to Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc on 2007-11-07.
When was the information regarding Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-07.