NPI 1518035849 · live from the CMS NPI Registry
Andrew Dean Chen, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Woodstock, GA. National Provider Identifier 1518035849, active.
NPI record
| NPI | 1518035849 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 12195 Highway 92, Suite 148, Woodstock, GA 30188 |
| Practice phone | 770-517-2772 |
| Mailing address | Po Box 3367, Manhattan Beach, CA 90266 |
| Enumerated | December 4, 2006 |
| Last updated | November 14, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 52354 (CA) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DN014701 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.