Individual
DR. KEVIN SHE-WAI CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
4201 LAKE BOONE TRL STE 2, RALEIGH, NC 27607-7511
(919) 787-3949
(919) 787-7634
Mailing address
1501 CATCH FLY LN, DURHAM, NC 27713-2556
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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