Gregory Chan, DDS
Dentist, Periodontics in Sacramento, CA. Individual provider (NPI-1).
NPI number1508419797
StatusActive
Last updated in NPPESAug 9, 2022
Details
- NPI
- 1508419797
- Entity type
- Individual (NPI-1)
- Name
- Gregory Chan
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2019
- Certification date
- Aug 9, 2022
- Last updated
- Aug 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | DDS107368 | CA | Yes |
| 1223G0001X | Dentist, General Practice | DN1858442 | MA | |
| 1223P0300X | Dentist, Periodontics | DN1858442 | MA |
Practice location
8211 Bruceville Rd Ste 155Sacramento, CA 95823-2313
Phone 916-525-7635
Mailing address
19736 Auburn DrCupertino, CA 95014-2414
Phone 408-221-2203
Other practice locations
188 Longwood Ave
Boston, MA 02115-5819
Boston, MA 02115-5819
Phone 617-432-1434
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All 32 Periodontics providers in Sacramento · All 37,780 providers in Sacramento
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