STEPHANIE CHAN


Address: 4820 W Taft Rd Ste 214, Liverpool, NY 13088-2807
Phone: 3154131100

STEPHANIE CHAN (NPI# 1821577420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821577420
Entity Type Individual
Full Name STEPHANIE CHAN
Credential DMD
Practice Address 4820 W Taft Rd Ste 214
Liverpool
NY 13088-2807
Practice Telephone 3154131100
Enumeration Date 2018-08-14
Last Update Date 2019-08-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
060485 NY Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1116 Arsenal St Ste 503, Watertown, NY 136012229 3157882200
216 Highbridge St, Fayetteville, NY 130661979 3156371100
37 W Garden St Ste 208, Auburn, NY 130212657 3152521100

Other Providers STEPHANIE CHAN

NPI Name Taxonomy Address Enumeration
1568028561 Stephanie Chan Pharmacist 13830 Sawyer Ranch Rd Ste 104, Dripping Springs, TX 78620-5514 2019-05-15
1669683686 Stephanie T Chan Physical Therapist 329 Atlantic Ave # 2a, Brooklyn, NY 11201-5868 2007-05-24
1194330753 Stephanie Chan Physical Therapist 10601 Walker St Ste 200, Cypress, CA 90630-4744 2020-09-10
1104383090 Stephanie Chan Behavioral Analyst 7529 Standish Pl Ste 355, Rockville, MD 20855-2733 2019-02-27
1245692375 Stephanie Chan Physical Medicine & Rehabilitation 49 Spring St, Scarborough, ME 04074-8926 2016-03-28
1982076634 Stephanie Chan Student in an Organized Health Care Education/Training Program 375 89th St, Daly City, CA 94015-1802 2015-10-21
1093129892 Stephanie Hoi-ling Chan Psychiatry & Neurology 1000 West Carson Street, Box 498, Torrance, CA 90509 2014-06-19
1740608686 Stephanie Aileen Chan Internal Medicine 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 2014-03-28
1548530223 Stephanie Lynn Chan Massage Therapist 14998 Cleveland St, Spring Lake, MI 49456-8992 2012-01-11
1356675763 Stephanie Chan Counselor 2001 The Alameda, San Jose, CA 95126-1136 2009-10-01

Office Location

Street Address 4820 W TAFT RD STE 214
City LIVERPOOL
State NY
Zip Code 13088-2807

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245878966 Anthony Edward Blumetti Psychologist 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 2019-12-12
1609350016 Alice Nellenbach Physical Therapy Assistant 346 Electronics Pkwy, Liverpool, NY 13088 2018-09-20
1043741457 Dawn Marie Thomas Licensed Practical Nurse 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 2017-03-27
1154775633 Arielle L Leonard Massage Therapist 609 7th N. Street, Suite 2, Liverpool, NY 13088 2016-04-20
1942664362 Accessibility Solutions, Inc. Contractor 115 Luther Avenue, Liverpool, NY 13088 2016-04-12
1497176333 Sergey Golovko Psychiatry & Neurology 125 Sun Harbor Dr, Liverpool, NY 13088 2013-12-19
1205275286 Brandon William Crandall Nurse Practitioner 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 2013-06-23
1184976805 Audrey Irene Tyszka Social Worker 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 2012-10-04
1790049096 Kelley Beth Burt Speech-Language Pathologist 110 Elwood Davis Road, Liverpool, NY 13088 2012-07-02
1811288954 Nedim Ruhotina Urology 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 2011-04-24
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801183801 Daniel Francis Morris Dentist 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 2011-06-29
1720258205 Endodontic Specialists, PC Dentist 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 2008-03-11
1366587214 Eugene West Dentist 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 2007-02-20
1972646875 Mark D Currell Dentist 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 2007-02-14
1215070123 Lynn S Brinker Dentist 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 2007-02-14
1396881389 Advanced Endodontics PC Dentist 5112 W Taft Rd, Suite 'r', Liverpool, NY 13088-4868 2007-01-29
1225186216 Jeffrey S Maloff Dentist 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 2007-01-08
1841356649 Bruce Harvey Seidberg Dentist 5112 W Taft Road, Suite 'r', Liverpool, NY 13088-4868 2006-12-28
1942290911 Brian Douglas Barnhart Dentist 4820 W Taft Rd, Liverpool, NY 13088-2800 2005-10-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063026235 Sanghyun Park Dentist 1103 Stewart Ave Ste 104, Garden City, NY 11530-4886 2020-09-03
1164031654 Harp Endodontics PC Dentist 121 E 60th St Apt 10a, New York, NY 10022-1198 2020-07-30
1518590918 All County Endodontics, PC Dentist 112 Westminster Rd, Scarsdale, NY 10583-2425 2020-02-14
1245862325 Marie Milagros Mora Moreno Dentist 345 E 24th St Dept Of, New York, NY 10010-4020 2020-02-06
1407406218 Geoffrey Louis Sas Dentist 1414 Avenue of The Americas Fl 19, New York, NY 10019-2514 2019-09-13
1790340875 Kim & Wang Dds Pllc Dentist 10737 71st Ave Ste 203, Forest Hills, NY 11375-4736 2019-05-05
1003373903 Prohealth Dental Pllc Dentist 5011 Vernon Blvd, Long Island City, NY 11101 2019-02-27
1023575982 Prohealth Dental Pllc Dentist 16345 Crossbay Blvd, Howard Beach, NY 11414-3741 2019-02-27
1114494911 Alf Hitel Bunes Dentist 900 Starboard Side Ln Apt 306, Webster, NY 14580-2288 2018-10-30
1972086684 Steven Kyongmin Kim Dentist 209 E 56th St Frnt 1, New York, NY 10022 2018-09-09
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Competitor

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City LIVERPOOL
Zip Code 13088

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Dataset Information

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.

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