National Provider Identifier
Andrew Chan, DDS
Andrew Chan, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Buffalo, NY and a listed phone number of (716) 262-9750.
Profile Overview
- NPI
- 1124703533
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- June 21, 2023
- Last Updated
- August 17, 2023
Practice Location
- 325 Squire Hall
- Buffalo, NY 14214-8006
Phone: (716) 262-9750
Mailing Address
- 2909 15Th Ave S
- Seattle, WA 98144-5725
Specialties
- General Practice Dentistry (1223G0001X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1124703533
- Entity Type
- Individual
- Last Name
- Chan
- First Name
- Andrew
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 2909 15Th Ave S
- Mailing City
- Seattle
- Mailing State
- WA
- Mailing ZIP Code
- 98144-5725
- Mailing Country
- US
- Practice Street Address
- 325 Squire Hall
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-8006
- Practice Country
- US
- Practice Phone
- (716) 262-9750
- Enumeration Date
- June 21, 2023
- Last Updated
- August 17, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- July 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X), Student in an Organized Health Care Education/Training Program (390200000X)