Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952830002 Individual Practitioner Male Practitioner

Dr. Wilson Chan , DMD

Dentist - General Practice • Philadelphia, PA

Professional Overview & Biography Verified Profile Summary

Dr. Wilson Chan, DMD is a registered healthcare professional specializing in Dentist - General Practice in Philadelphia, PA. Practice services are available at 1207 CHESTNUT ST 4TH FLOOR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1207 Chestnut St 4th Floor

Philadelphia, PA 191074131

Telephone 2155253046
Fax 2155671617
Associated Practice Facility / Clinic
🏢 Philadelphia Fight Facility NPI 1487082608

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Philadelphia, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
577 Specialists

Practicing in Philadelphia, PA (4936 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

CMS Verified: 2020-01-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License PA DS041841

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License PA DS041841

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1036229380001 (PA)

Secondary Practice Locations

5501 Old York Rd

Philadelphia, PA 191413018

Phone: 2154567130

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Deanne Wallaert , PHDHP

Dentist - Dental Public Health

NPI 1083271704
Dr. Tatyana Straus , DMD

Dentist - General Practice

NPI 1205284239

Doctor of Dental Medicine

Dr. Kari Hexem , DMD

Dentist - General Practice

NPI 1225414543

Doctor of Dental Medicine

NPI 1245759877

Registered Dental Hygienist, PHDHP

NPI 1356965461
NPI 1699392316

Doctor of Dental Medicine

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location January 06, 2020

Registered at 1207 CHESTNUT ST 4TH FLOOR, PHILADELPHIA, PA 191074131 (Tel: 2155253046)

📍
Updated Business Mailing Address January 06, 2020

Registered at 1233 LOCUST ST FL 3, PHILADELPHIA, PA 191075400 (Tel: 2159854448)

📍
Updated Practice Location July 23, 2019

Registered at 1207 CHESTNUT ST FL 4, PHILADELPHIA, PA 19107 (Tel: 2155253046)

📍
Updated Business Mailing Address July 23, 2019

Registered at 1207 CHESTNUT ST FL 4, PHILADELPHIA, PA 191074131 (Tel: 2155253046)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2019

Dentist (License #DS041841 in PA)

NPI Profile Active June 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2017

Registered at 5501 OLD YORK RD, PHILADELPHIA, PA 191413018 (Tel: 2154567130)

📍
Updated Business Mailing Address June 11, 2017

Registered at 1440 MOUNT VERNON ST APT 607, PHILADELPHIA, PA 191303476

👤
Provider Name / Credentials Updated June 11, 2017

Recorded as WILSON CHAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 11, 2017

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: 1952830002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2017
Last Update: January 06, 2020
Sole Proprietor: No

Mailing Address

1233 Locust St Fl 3

Philadelphia, PA 191075400

Phone: 2159854448

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.