Tyrone Chan, DDS is a
Dentist based in San Fransisco, California. Tyrone Chan is licensed to practice in California (license number 40343) and his current practice location is
2645 Ocean Avenue, Suite 302, San Fransisco, California. He can be reached at his office (for appointments etc.) via phone at
(415) 333-8819.
NPI number for Tyrone Chan is 1720024987 and his current mailing address is 2645 Ocean Avenue, Suite 302, San Fransisco, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720024987.
Healthcare Provider's Profile
| Full Name | Tyrone Chan |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 2645 Ocean Avenue, San Fransisco, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720024987
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 04/11/2018
Medical Identifiers
Medical identifiers for Tyrone Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720024987 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 40343 (California) | Secondary |
| 122300000X | Dentist | 40343 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyrone Chan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tyrone Chan, DDS
2645 Ocean Avenue, Suite 302,
San Fransisco, CA 94132
Ph: (415) 333-8819 | Tyrone Chan, DDS
2645 Ocean Avenue, Suite 302,
San Fransisco, CA 94132
Ph: (415) 333-8819 |
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