NPI 1013483981 · live from the CMS NPI Registry
Chan Orthodontic Dentistry LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Cumberland, RI. National Provider Identifier 1013483981, active.
NPI record
| NPI | 1013483981 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2359 Mendon Rd, Cumberland, RI 02864 |
| Practice phone | 401-334-3070 |
| Enumerated | October 18, 2018 |
| Last updated | October 18, 2018 |
| Authorized official | Tina Matos, Bookkeeper |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.