Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295069045 Individual Practitioner Female Practitioner

Dr. Jennifer M Chan , DMD

Dentist • Bothell, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Chan, DMD is a registered healthcare professional specializing in Dentist in Bothell, WA. Practice services are available at 10414 BEARDSLEE BLVD STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10414 Beardslee Blvd Ste 200

Bothell, WA 980113205

Telephone 4254246350
Associated Practice Facility / Clinic
🏢 Healthpoint Facility NPI 1447515887

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bothell, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
46 Specialists

Practicing in Bothell, WA (2853 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: 2024-12-26
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE60487956

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NJ 22D102422200

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

Wright Patterson Afb Hospital

Wright Patterson Afb, OH 45433

Phone: 9372578761

Practice Associates & Co-Workers

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

8 Associated Practitioners
NPI 1023496312

Doctor of Dental Surgery

NPI 1144537820

Doctor of Dental Medicine

NPI 1184024895

Doctor of Dental Medicine, Master of Public Health

NPI 1487062360

Doctor of Dental Surgery

NPI 1497086227
NPI 1568847994

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 26, 2024

Registered at 10414 BEARDSLEE BLVD STE 200, BOTHELL, WA 980113205 (Tel: 4254246350)

📍
Updated Business Mailing Address December 26, 2024

Registered at 955 POWELL AVE SW, RENTON, WA 980572908 (Tel: 4252771311)

NPI Profile Active September 28, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2009

Registered at WRIGHT PATTERSON AFB HOSPITAL, WRIGHT PATTERSON AFB, OH 45433 (Tel: 9372578761)

📍
Updated Business Mailing Address September 28, 2009

Registered at 2805 FOREST CREEK DR APT 6, BEAVERCREEK, OH 454317725 (Tel: 6464981701)

👤
Provider Name / Credentials Updated September 28, 2009

Recorded as JENNIFER CHAN, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2009

Dentist (License #22D102422200 in NJ)

🟢
Initial NPI Registration & Enumeration September 28, 2009

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: 1295069045
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2009
Last Update: December 26, 2024
Sole Proprietor: No

Mailing Address

955 Powell Ave Sw

Renton, WA 980572908

Phone: 4252771311

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.