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DR. WALLACE MATTHEW CHAN DMD
NPI 1386881605
Dentist - General Practice in New York, NY

Active since January 08, 2009
1 GUSTAVE LEVY PLACE, DENTAL DEPARTMENT, MOUNT SINAI SCHOOL OF MEDICINE, NEW YORK, NY 10029(212) 241-9619 Get Directions Write a Review

NPPES record last updated: February 9, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Wallace Matthew Chan Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WALLACE MATTHEW CHAN DMD (NPI 1386881605) is an individual general practice provider in New York, New York, licensed in New York (054755) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1386881605
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. WALLACE MATTHEW CHANCredential: DMD
Location Address1 GUSTAVE LEVY PLACE, DENTAL DEPARTMENT, MOUNT SINAI SCHOOL OF MEDICINENew York, NY 10029
Mailing Address2124 Crescent St, Apt. D6Astoria, NY 11105-3374 · (443) 758-0844
Phone(212) 241-9619
Sole ProprietorYes
Enumeration DateJanuary 8, 2009
Last NPPES UpdateFebruary 9, 2010
✔ NPI 1386881605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 054755
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1 GUSTAVE LEVY PLACE, New York, NY 10029
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY PRESCIUTTI
Nurse Practitioner (Family)
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 241-6500
MARK SAM COUREY
Specialist
1 GUSTAVE LEVY PLACE, BOX 1191
NEW YORK, NY 10029
New York County (212) 241-9410
DR. DENNIS MARK BIENSTOCK MD
Student in an Organized Health Care Education/Training Program
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 241-1621
MOUNT SINAI SCHOOL OF MEDICINE
Pathology (Blood Banking & Transfusion Medicine)
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 241-6784
MOUNT SINAI SCHOOL OF MEDICINE
Internal Medicine (Cardiovascular Disease)
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 731-7822
JULIA RIVADENEIRA LMSW
Social Worker
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 659-8795
DR. TAISHA ROMAN MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 241-6500
DR. KATE WELCH M.D.
Pediatrics (Pediatric Allergy/Immunology)
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 241-4963

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallace Chan's NPI number?

The NPI number for Wallace Chan is 1386881605. It was assigned to this individual provider in the NPPES registry on January 8, 2009.

Where is Wallace Chan located?

Wallace Chan practices at 1 Gustave Levy Place Dental Department, Mount Sinai School Of Medicine, New York, NY 10029. The listed phone number is (212) 241-9619.

What is Wallace Chan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Wallace Chan was last updated on February 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.