Healthcare Provider Details

I. General information

NPI: 1710550348
Provider Name (Legal Business Name): ALEXANDER FRANCIS CHIN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2021
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3630 MACARTHUR BLVD
OAKLAND CA
94619-1328
US

IV. Provider business mailing address

2369 JACKSON ST
SAN FRANCISCO CA
94115-1322
US

V. Phone/Fax

Practice location:
  • Phone: 510-240-7264
  • Fax:
Mailing address:
  • Phone: 415-314-8190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number106646
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: