Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON LIDDELL PAN, DMD
DeactivatedDR. JASON LIDDELL PAN, DMD is a General Dentistry healthcare provider located in MELROSE, Massachusetts. NPI 1508423591 is deactivated in the NPPES registry. Verify at CMS.
General Dentistry · MELROSE, MA
This NPI has been deactivated.
The record was deactivated on May 24, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1508423591
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2019
- Last Updated
- Aug 26, 2020
- Deactivated
- May 24, 2019
- License
-
DN1858638 (MA)
Practice Information
- Address
-
985 MAIN STMELROSE, MA, 021761913Browse MA providers · Browse ZIP 02176
- Phone
- 7816655190
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in MELROSE, MA
| Name | Credential | NPI |
|---|---|---|
| DR. FREDERICK L SOLOMON | D.M.D | 1215926530 |
| DR. PAUL ANTHONY TORRACA | DMD | 1750326963 |
| DR. DANIEL N GIATRELIS | DMD | 1457441107 |
| DR. PETER SHIEH | DMD | 1245318385 |
| DR. VASILIOS MOURMOUTIS | D.M.D | 1710043930 |
| DR. GEORGE ARA SURABIAN | DMD | 1013034693 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.