NPI 1205047479 · live from the CMS NPI Registry
Ivy Chen, DDS, MMSc
Dentist, Orthodontics and Dentofacial Orthopedics in Concord, MA. National Provider Identifier 1205047479, active.
NPI record
| NPI | 1205047479 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 290 Baker Ave, Concord, MA 01742 |
| Practice phone | 857-222-9988 |
| Mailing address | Po Box 96, Concord, MA 01742 |
| Enumerated | May 26, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 20548 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.