TERENCE CHAN (NPI# 1598872681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598872681 |
| Entity Type | Individual |
| Full Name | TERENCE CHAN |
| Credential | DDS |
| Practice Address |
1122 S Linden Rd Building E Flint MI 48532-3437 |
| Practice Telephone | 8107320640 |
| Practice Fax Number | 8107322264 |
| Mailing Telephone | 8107320640 |
| Mailing Fax Number | 8107322264 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2009-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
17250 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4863058 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437439759 | Terence Song-yang Chan | Dentist | 11281 Fondren Rd Ste B, Houston, TX 77096 | 2011-08-17 |
| 1780903617 | Terence Tai Lan Chan | Student in an Organized Health Care Education/Training Program | 1111 Columbus St Ste 1200, Bakersfield, CA 93305-1936 | 2010-05-17 |
| 1770611832 | Terence C Chan | Hospitalist | 2501 Buena Vista, Pmg Provider Resource Group, Albuquerque, NM 87125 | 2007-03-01 |
| 1871689794 | Terence T Chan | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2006-10-05 |
| Street Address |
1122 S LINDEN RD BUILDING E |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326028044 | Mark Edward Koonmen | Dentist | 1122 S Linden Rd, Flint, MI 48532-3437 | 2006-01-19 |
| 1225280712 | Terence Chan, Dds, Msd, PC | Clinic/Center | 1122 S Linden Rd, Flint, MI 48532-3437 | 2008-10-16 |
| 1396825998 | Mark E. Koonmen, Dds, Ms, PC | Dentist | 1122 S Linden Rd, Flint, MI 48532-3437 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326028044 | Mark Edward Koonmen | Dentist | 1122 S Linden Rd, Flint, MI 48532-3437 | 2006-01-19 |
| 1609850361 | Robert F. Majewski | Dentist | 806 Tuuri Place, Mott Children's Health Center, Flint, MI 48503 | 2005-12-05 |
| 1346650041 | Julie Freeman | Dentist | 806 Tuuri Pl, Flint, MI 48503 | 2014-05-02 |
| 1992092969 | Litsa Karaouzas | Dentist | 806 Tuuri Pl, Flint, MI 48503-2465 | 2011-06-29 |
| 1114168978 | John Michael Sushynski | Dentist | 1125 S Linden Rd, Suite 800, Flint, MI 48532-4073 | 2009-03-09 |
| 1437323904 | Mid-michigan Pediatric Dentistry | Dentist | 1125 S Linden Rd, Suite 800, Flint, MI 48532-4073 | 2008-04-16 |
| 1114138146 | Ingrace Dental Clinic, Plc | Dentist | 2222 S Linden Rd, Suite K, Flint, MI 48532-5475 | 2007-05-24 |
| 1912020363 | Nnenna Nwanyiriuba Eboda | Dentist | 2222 S Linden Rd, Suite K, Flint, MI 48532-5475 | 2007-04-09 |
| 1396825998 | Mark E. Koonmen, Dds, Ms, PC | Dentist | 1122 S Linden Rd, Flint, MI 48532-3437 | 2006-10-17 |
| 1114039146 | Neerrajah Ramaswami | Dentist | 806 Tuuri Pl, Flint, MI 48503-2465 | 2006-08-31 |
| Find all providers in FLINT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.