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STEPHANIE CHAN DDS
NPI 1700578002
Dentist in Guerneville, CA

Active since May 24, 2023
16387 FIRST STREET, GUERNEVILLE, CA 95446(707) 869-2849 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2023, May 24, 2023 (2 updates tracked since 2023).

About Stephanie Chan Dds NPPES

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

STEPHANIE CHAN DDS (NPI 1700578002) is an individual dentist in Guerneville, California, licensed in California (108886) and active in the NPI registry since May 2023. She maintains a secondary practice location in Palo Alto.

NPPES Registry Identity

NPI1700578002
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSTEPHANIE CHANCredential: DDS
Location Address16387 FIRST STREETGuerneville, CA 95446
Mailing Address878 Los Robles AvePalo Alto, CA 94306-3124
Phone(707) 869-2849
Sole ProprietorNo
Enumeration DateMay 24, 2023
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1700578002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 108886
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
16387 FIRST STREET, Guerneville, CA 95446
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Secondary Practice Location 1

Location 1878 Los Robles AvePalo Alto, CA 94306-3124 · Phone (650) 833-9758

Other Providers at the Same Location NPPES

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

CHARLES ANDREW KENNEDY ASW
Social Worker
16387 FIRST STREET
GUERNEVILLE, CA 95446
Sonoma County (707) 326-1452

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 Stephanie Chan's NPI number?

The NPI number for Stephanie Chan is 1700578002. It was assigned to this individual provider in the NPPES registry on May 24, 2023.

Where is Stephanie Chan located?

Stephanie Chan practices at 16387 First Street, Guerneville, CA 95446. The listed phone number is (707) 869-2849.

What is Stephanie Chan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Stephanie Chan was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.