DR. JUSTIN CHAN (NPI# 1982220497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982220497 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN CHAN |
| Credential | DDS |
| Practice Address |
47059 Van Dyke Ave Shelby Township MI 48317-3357 |
| Mailing Address |
47379 Tilch Rd Macomb MI 48044-2459 |
| Practice Telephone | 5869916299 |
| Mailing Telephone | 5865560220 |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2020-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901600517 | MI | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 23350 Greenfield Rd, Oak Park, MI 482372496 | 2489682742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235635624 | Justin Michael Chan | Pharmacist | 11440 Windemere Parkway, San Ramon, CA 94582 | 2018-04-04 |
| 1144508292 | Justin Nile Chan | Dentist | 6675 S Custer Rd Ste 200, Mckinney, TX 75070-1838 | 2011-07-22 |
| 1003818501 | Justin Le Chan | Family Medicine | 925 S Garfield Ave, Alhambra, CA 91801-4442 | 2005-08-15 |
| 1316576861 | Justin Prescott Chan | Student in an Organized Health Care Education/Training Program | 101 The City Drive S, Pav. 3, 2nd Floor, Orange, CA 92868 | 2020-04-06 |
| 1750850541 | Justin Kalok Chan | Physical Medicine & Rehabilitation | 1887 Monterey Hwy Ste 200, San Jose, CA 95112-6192 | 2018-11-21 |
| 1215442082 | Justin Chan | Physical Therapist | 33 Richmond Hill Rd, Staten Island, NY 10314-5950 | 2017-12-02 |
| 1043740251 | Justin Chan | Behavioral Analyst | 1063 Mcgaw Ave Ste 100, Irvine, CA 92614-5554 | 2017-06-20 |
| 1619310208 | Justin Hwa Chan | Orthopaedic Surgery | 332 Santa Fe Dr Ste 110, Encinitas, CA 92024-5143 | 2013-04-12 |
| 1750601126 | Justin J Chan | Internal Medicine | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2010-06-08 |
| 1962600650 | Justin Chan | Family Medicine | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2007-07-05 |
| Street Address |
47059 VAN DYKE AVE |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48317-3357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053820977 | Deluxe Dental Pllc # 3 | Dentist | 47059 Van Dyke Ave, Shelby Township, MI 48317-3357 | 2017-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329686 | Jasmine Withers | Driver | 45835 Brownell St, Apt 9, Utica, MI 48317 | 2020-03-02 |
| 1942851670 | Kn Mental Health Services LLC | Social Worker | 1111 Hall Road, Utica, MI 48317 | 2019-09-24 |
| 1710461421 | Pureland Physical Therapy | Physical Medicine & Rehabilitation | 45555 Mound Rd, Shelby Twp, MI 48317 | 2018-09-18 |
| 1417433566 | Stephanie Marie Renner | Occupational Therapist | Regency At Shelby, 7401 22 Mile Road, Shelby Charter Township, MI 48317 | 2018-07-12 |
| 1437645959 | Jonathan G Deck | Physician Assistant | 46961 Vandyke Ave, Sheby Township, MI 48317 | 2018-07-09 |
| 1013407261 | Meredith Ann Schramski | Physician Assistant | 46961 Van Dyke Ave, Shelby Township, MI 48317 | 2018-05-14 |
| 1114446184 | Patrick Michael Roberts | Physician Assistant | 50149 Hedgeway Dr, Shelby Twp, MI 48317 | 2017-09-11 |
| 1427571702 | Boby Philip Manalel | Physical Therapist | 11150 Nature Way, Shelby Twp, MI 48317 | 2017-07-19 |
| 1285155119 | Shelby Urgent Care Walk-in Clinic | Family Medicine | 46965 Van Dyke Ave, Shelby Twp, MI 48317 | 2017-06-30 |
| 1942650718 | Samantha Parison | Technician, Other | 47980 Shelby Road, Shelby Township, MI 48317 | 2016-06-13 |
| Find all providers in zip 48317 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620594 | Lifetime Dental Care of Michigan, P.C. | Dentist | 56060 Van Dyke Ave, Shelby Township, MI 48316-5143 | 2019-10-14 |
| 1346807187 | Arvin Labib Karana | Dentist | 54843 Northview Ct, Shelby Township, MI 48316-1341 | 2019-05-28 |
| 1396238887 | Nisa Goshtasbi | Dentist | 50505 Schoenherr Rd Ste 170, Shelby Township, MI 48315-3141 | 2018-06-11 |
| 1578064481 | J.a. Penzien, P.C. | Dentist | 55191 Shelby Rd, Shelby Township, MI 48316-1150 | 2018-02-26 |
| 1477901668 | Kyle Junga | Dentist | 50202 Schoenherr Rd, Shelby Township, MI 48315-3134 | 2016-05-27 |
| 1083011233 | Pelton Glover Dental PC | Dentist | 13610 24 Mile Rd, Shelby Township, MI 48315-2400 | 2014-12-02 |
| 1467748541 | Brittany Ann Mckinley-holloway | Dentist | 45651 Village Blvd, Shelby Township, MI 48315-6068 | 2011-06-27 |
| 1649595232 | Eastside Family Dentistry | Dentist | 48926 Schoenherr Rd., Shelby Township, MI 48315 | 2010-04-07 |
| 1780800789 | Bryan Ted Solt | Dentist | 51772 Van Dyke Ave, Shelby Township, MI 48316-4450 | 2007-04-18 |
| 1710016670 | Michael Bentley Kayser | Dentist | 54826 Dequindre Rd, Shelby Township, MI 48316-5625 | 2007-03-05 |
| Find all providers in SHELBY TOWNSHIP | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48317 |
Please comment or provide details below to improve the information on DR. JUSTIN CHAN.
| 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.