Jack Chan, MD

NPI 1376170522 · on the registry since 2020 · sole proprietor

Practice

Address: 101 Shattuck Way Ste 6
Newington, NH 03801
Phone: (617) 372-4018
Organisation at this address: Au Blanc Nh Pllc
Richard Y Liu Dmd Pa
Marc P. Brown Dds Pa
Nh Dental Design, Pc
Specialty Institute Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 207LP2900X
207LP2900X
Licence states on file: NH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Hampshire