# CHRISTOPHER CHAN, DDS, MD, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Foothill Center for Dental Implants and Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255074381
- **Authorized official:** DR. CHRISTOPHER CHAN DDS, MD (PRESIDENT)
- **Authorized official phone:** (310) 886-9863

## Contact information

- **Practice address:** 212 S EL MOLINO AVE, PASADENA, CA 91101-6501
- **Practice address phone:** (626) 792-3161
- **Practice address fax:** (626) 792-9442
- **Mailing address:** 212 S EL MOLINO AVE, PASADENA, CA 91101-6501
- **Mailing address phone:** (626) 792-3161
- **Mailing address fax:** (626) 792-9442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2022
- **Last updated:** 04/17/2022