TERENCE CHAN, DDS, MSD, PC (NPI# 1225280712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225280712 |
| Entity Type | Organization |
| Organization Name | TERENCE CHAN, DDS, MSD, PC |
| Practice Address |
1122 S Linden Rd Flint MI 48532-3437 |
| Mailing Address |
G-1122 South Linden Road Flint MI 48532 |
| Practice Telephone | 8107320640 |
| Mailing Telephone | 8107320640 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |
| Authorized Official Name | DR. TERENCE CHAN (OWNER) |
| Authorized Official Telephone | 5862196937 |
| Authorized Official Credential | DDS, MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
2901017250 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4863058 | 05 |
| Street Address |
1122 S LINDEN RD |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326028044 | Mark Edward Koonmen | Dentist | 1122 S Linden Rd, Flint, MI 48532-3437 | 2006-01-19 |
| 1396825998 | Mark E. Koonmen, Dds, Ms, PC | Dentist | 1122 S Linden Rd, Flint, MI 48532-3437 | 2006-10-17 |
| 1598872681 | Terence Chan | Dentist | 1122 S Linden Rd, Building E, Flint, MI 48532-3437 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748187 | Hallmark Smiles, Pllc | Clinic/Center | 4221 Corunna Rd, Flint, MI 48532-4316 | 2020-07-27 |
| 1124636949 | Mark H. Knight, D.d.s. | Clinic/Center | 1408 W Hill Rd Ste A, Flint, MI 48507-4726 | 2020-07-17 |
| 1407460975 | Flint Dental Group | Clinic/Center | 17159 Fm 2493, Flint, TX 75762-8331 | 2020-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821216 | Inspired Family Dental Care | Clinic/Center | 1685 Fairholme Rd, Grosse Pointe Woods, MI 48236-2368 | 2020-11-05 |
| 1376144261 | Right Choice Dental, PC | Clinic/Center | 475 Columbia Ave E Ste 5, Battle Creek, MI 49014-5461 | 2020-11-05 |
| 1669073813 | Thomas M Smith, Dds, Plc | Clinic/Center | 755 Seminole Rd Ste 103, Norton Shores, MI 49441-6561 | 2020-11-04 |
| 1235739533 | Randy J Breen Dds Pllc | Clinic/Center | 2460 Burton St Se Ste 201, Grand Rapids, MI 49546-4800 | 2020-10-27 |
| 1831798370 | Saline Dental Care, Pllc | Clinic/Center | 150 Judd Rd, Milan, MI 48160-9584 | 2020-10-24 |
| 1235738113 | David Sorial Dds PC | Clinic/Center | 14755 Northline Rd, Southgate, MI 48195-2407 | 2020-10-21 |
| 1598363970 | Steven M Moss Dds PC | Clinic/Center | 37625 Ann Arbor Rd Ste 108, Livonia, MI 48150-2400 | 2020-10-16 |
| 1700484375 | Troy Cosmetic and Implant Dental Center Pllc | Clinic/Center | 4770 Rochester Rd Ste 106, Troy, MI 48085-4951 | 2020-10-15 |
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1245837806 | Kendall J Lee Dds Pllc | Clinic/Center | 111 S Howell St, Hillsdale, MI 49242-1873 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
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| 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.