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Active NPI 1083901631 Individual Practitioner Female Practitioner

Dr. Stacey Lei-Ling Chan , DMD

Dentist - General Practice • Oviedo, FL

Professional Overview & Biography Verified Profile Summary

Dr. Stacey Chan, DMD is a registered healthcare professional specializing in Dentist - General Practice in Oviedo, FL. Practice services are available at 101 LAKE HAYES RD STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Lake Hayes Rd Ste 101

Oviedo, FL 327659097

Telephone 4078459000
Fax 4078095668

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Oviedo, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
31 Specialists

Practicing in Oviedo, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN19673

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
✅
NPI Profile Active January 04, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2018

Registered at 101 LAKE HAYES RD STE 101, OVIEDO, FL 327659097 (Tel: 4078459000)

📍
Updated Business Mailing Address January 04, 2018

Registered at 101 LAKE HAYES RD STE 101, OVIEDO, FL 327659097 (Tel: 4078459000)

👤
Provider Name / Credentials Updated January 04, 2018

Recorded as STACEY CHAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2018

Dentist (License #DN19673 in FL)

✅
NPI Profile Active October 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2016

Registered at 4732 S KIRKMAN RD, ORLANDO, FL 328113643 (Tel: 4072927373)

📍
Updated Business Mailing Address October 18, 2016

Registered at 4732 S KIRKMAN RD, ORLANDO, FL 328113643 (Tel: 4072927373)

👤
Provider Name / Credentials Updated October 18, 2016

Recorded as STACEY CHAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2016

Dentist (License #DN19673 in FL)

🟢
Initial NPI Registration & Enumeration July 05, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083901631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2011
Last Update: January 04, 2018
Sole Proprietor: No
Update or Correct Profile

Mailing Address

101 Lake Hayes Rd Ste 101

Oviedo, FL 327659097

Phone: 4078459000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.