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Active NPI 1053465443 Individual Practitioner Male Practitioner

Dr. Alan Pan , DMD

Dentist - General Practice • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Alan Pan, DMD is a registered healthcare professional specializing in Dentist - General Practice in Providence, RI. Practice services are available at 16 BRIDGE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16 Bridge St
Corliss Landing

Providence, RI 029034362

Telephone 4018615600
Fax 4018615603
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
53 Specialists

Practicing in Providence, RI (373 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 RI 02912

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 - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MA 21064

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Donald Kallio , DMD

Dentist - Periodontics

NPI 1205980604

Doctor of Dental Medicine

Dr. Antonio Goncalves , DMD

Dentist - General Practice

NPI 1467506881

Doctor of Dental Medicine

Dr. Maria Pinilla , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1801933270

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 16 BRIDGE ST, CORLISS LANDING, PROVIDENCE, RI 029034362 (Tel: 4018615600)

📍
Updated Business Mailing Address July 08, 2007

Registered at 16 BRIDGE ST, CORLISS LANDING, PROVIDENCE, RI 029034362 (Tel: 4018615600)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ALAN PAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #02912 in RI)

🟢
Initial NPI Registration & Enumeration January 22, 2007

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: 1053465443
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

16 Bridge St, Corliss Landing

Providence, RI 029034362

Phone: 4018615600

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.