Dr. Jason Liddell Pan , DMD
Dentist - General Practice • Melrose, MA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jason Pan has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jason Pan, DMD was a registered Dentist - General Practice practicing in Melrose, MA. Throughout an active medical career spanning 1 years, Dr. Pan provided care at the practice location at 985 MAIN ST until profile deactivation on 2019-05-24.
Practice Location & Contact Primary Location
985 Main St
Melrose, MA 021761913
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Melrose, MA
Practicing in Melrose, MA (3722 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2020-08-26NUCC Taxonomy Code: 1223G0001X
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.
Secondary Practice Locations
4100 W 3rd St
Dayton, OH 454289000
Phone: 2102937262
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Dentist - Orthodontics and Dentofacial Orthopedics
Doctor of Dental Medicine
Dentist - General Practice
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 985 MAIN ST, MELROSE, MA 021761913 (Tel: 7816655190)
Dentist (License #DN1858638 in MA)
Record officially reactivated for active practice on June 06, 2019
Registered at 4100 W 3RD ST, DAYTON, OH 454289000 (Tel: 2102937262)
Registered at 94 LARCHMONT RD, MELROSE, MA 021762503 (Tel: 6172725677)
Recorded as JASON PAN, DMD
Student in an Organized Health Care Education/Training Program
Record deactivated on May 24, 2019
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
94 Larchmont Rd
Melrose, MA 021762503
Phone: 6172725677
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.