MEDICARE: DR. BENJAMIN MING FEI CHAN DMD, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DN1855834	MA

General Provider Information

NPI Number	:	1538593223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN MING FEI CHAN DMD, MS

Provider Business Mailing Address
First Line	:	1 NASSAU ST
Second Line	:	UNIT 2103
City	:	BOSTON
State	:	MA
Zip	:	02111-1542
Country	:	US
Telephone Number	:	401-334-3070
Fax Number	:

Provider Business Practice Location Address
First Line	:	2359 MENDON RD
Second Line	:
City	:	CUMBERLAND
State	:	RI
Zip	:	02864-3707
Country	:	US
Telephone Number	:	401-334-3070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2013
Last Update Date	:	09/09/2025

Similar Medicare Providers

1194887661 — DR. WILLIAM B CHAN D.M.D.
Practice Location Address:

2359 MENDON RD
CUMBERLAND, RI
02864-3707

Practice Phone: 401-334-3070
Practice Fax: 401-334-9031

1861554347 — WILLIAM B. CHAN DMD, INC.
Practice Location Address:

2359 MENDON RD
CUMBERLAND, RI
02864-3707

Practice Phone: 401-334-3070
Practice Fax: 401-334-9031

1548322035 — DR. DENISE M GOODMAN D.M.D.
Practice Location Address:

2359 MENDON RD
CUMBERLAND, RI
02864-3707

Practice Phone: 401-334-3070
Practice Fax: 401-334-9031

1013483981 — CHAN ORTHODONTIC DENTISTRY LLC
Practice Location Address:

2359 MENDON RD
CUMBERLAND, RI
02864-3707

Practice Phone: 401-334-3070
Practice Fax: 401-334-9031

1659424380 — MRS. JAIME STOREY KIESOW OTR/L
Practice Location Address:

85 MIDDLE RD
CUMBERLAND, ME
04021-3707

Practice Phone: 207-829-8007
Practice Fax: 207-829-8008

1427103191 — STEPHANIE SOKUL OT
Practice Location Address:

85 MIDDLE RD
CUMBERLAND, ME
04021-3707

Practice Phone: 207-829-8007
Practice Fax: 207-829-8008

Directions to “ DR. BENJAMIN MING FEI CHAN DMD, MS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.