MEDICARE: JESSICA LIEN DDS

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	1223G0001X	General Practice Dentistry	30385	TX

General Provider Information

NPI Number	:	1780084038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LIEN DDS

Provider Business Mailing Address
First Line	:	617 K AVE STE 300
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-8533
Country	:	US
Telephone Number	:	972-372-9170
Fax Number	:

Provider Business Practice Location Address
First Line	:	617 K AVE STE 300
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-8533
Country	:	US
Telephone Number	:	972-372-9170
Fax Number	:

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

Provider Enumeration Date	:	08/23/2014
Last Update Date	:	06/02/2026

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Directions to “ JESSICA LIEN DDS” Practice Location

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