# GEOFFREY CHAN, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sammamish Plateau Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568815090
- **Authorized official:** DR. GEOFFREY CHAN DDS (MEMBER)
- **Authorized official phone:** (206) 755-3581

## Contact information

- **Practice address:** 22725 SE 29TH ST, SAMMAMISH, WA 98075-9532
- **Practice address phone:** (425) 391-5511
- **Mailing address:** 22725 SE 29TH ST, SAMMAMISH, WA 98075-9532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00010241 | WA | Yes |

## Other

- **Enumeration date:** 07/20/2016
- **Last updated:** 07/20/2016