MEDICARE: DR. MEI-YEE CHAN DMD

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	122300000X	Dentist	DN1858417	MA

General Provider Information

NPI Number	:	1861054116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEI-YEE CHAN DMD

Provider Business Mailing Address
First Line	:	31 LANG ST
Second Line	:
City	:	CONCORD
State	:	MA
Zip	:	01742-1703
Country	:	US
Telephone Number	:	978-505-3407
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 WESTFORD ST
Second Line	:
City	:	CARLISLE
State	:	MA
Zip	:	01741-1506
Country	:	US
Telephone Number	:	978-369-7967
Fax Number	:

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

Provider Enumeration Date	:	07/07/2019
Last Update Date	:	04/28/2020

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