Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Wallace Matthew Chan, DMD

Individual provider General Practice Dentistry · NPI 1386881605

Dr. Wallace Matthew Chan, DMD is a General Practice Dentistry in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1 Gustave Levy Place Dental Dept Mount Sinai School OF Medicine
New York, NY 10029
Phone: (212) 241-9619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 054755 (NY)

Record details

NPI number1386881605
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJanuary 8, 2009
Last updated in NPPESFebruary 9, 2010

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