Organization
CONTEMPORARY FACIAL AND ORAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN M CHAN MD,DDS (OWNER)
(214) 572-8633
Entity
Organization
Contact information
Practice address
3443 E. RENNER RD., SUITE 100, PLANO, TX 75074
(214) 572-8633
(214) 572-8638
Mailing address
3443 E. RENNER RD., SUITE 100, PLANO, TX 75074
(214) 572-8633
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235333741
NPI
TX
01
—
1326241928
NPI
TX
01
—
1700038163
GROUP NPI
TX
05
—
192748502
—
TX
05
—
198109401
—
TX
05
—
198110201
—
TX
Enumeration date
10/16/2008
Last updated
07/10/2018
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