Dr. Maemie Ming Ming Chan, DMD
Dentist in Cleveland, OH. Individual provider (NPI-1).
NPI number1487974705
StatusActive
Last updated in NPPESNov 29, 2012
Details
- NPI
- 1487974705
- Entity type
- Individual (NPI-1)
- Name
- Dr. Maemie Ming Ming Chan
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2010
- Last updated
- Nov 29, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 30.023179 | OH | Yes |
| 122300000X | Dentist | 30-023179 | OH | |
| 122300000X | Dentist | 28193 | TX |
Practice location
8101 Euclid AvenueCleveland, OH 44103
Phone 216-229-7440 · Fax 216-229-2501
Mailing address
206 W. 6thStillwater, OK 74074
Phone 405-707-6135 · Fax 405-707-0602
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