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Contact Information

STEPHEN CHAN, DDS
1425 MONTGOMERY RD
RED BLUFF, CA96080-4605
 Phone: 530-528-8600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for STEPHEN CHAN · (Male)

NPI Number 1356638597
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/08/2011
Last updated 12/13/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # D9575
  • CA License # 59948
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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