MEDICARE: DR. YI-CHEN MA DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	04699	NH
2	1223P0700X	Prosthodontics	DS045496	PA
3	122300000X	Dentist	DN1859148	MA

General Provider Information

NPI Number	:	1437824703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YI-CHEN MA DMD

Provider Business Mailing Address
First Line	:	7500 CENTRAL AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-2430
Country	:	US
Telephone Number	:	610-550-3333
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 CENTRAL AVE STE 101
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-2431
Country	:	US
Telephone Number	:	610-550-3333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2021
Last Update Date	:	05/11/2026

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Directions to “ DR. YI-CHEN MA DMD” Practice Location

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