Individual
DR. KEVIN SHE-WAI CHAN
Active
Individual
DR. KEVIN SHE-WAI CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11851
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11851
NC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
11851
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
04/29/2020
Last updated
05/09/2026
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