Provider Demographics
NPI:1831188283
Name:CHAN, VIVIAN FUNG (DDS)
Entity type:Individual
Prefix:DR
First Name:VIVIAN
Middle Name:FUNG
Last Name:CHAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5840 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355
Mailing Address - Country:US
Mailing Address - Phone:718-888-2320
Mailing Address - Fax:718-888-9983
Practice Address - Street 1:ADVANCED BEST CARE DENTAL 5840 MAIN STREET
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:718-888-2320
Practice Address - Fax:718-888-9983
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0485671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice