Healthcare Provider Details

I. General information

NPI: 1093638652
Provider Name (Legal Business Name): JENYIN CHEN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 POST ST STE 1020
SAN FRANCISCO CA
94102-1301
US

IV. Provider business mailing address

490 POST ST STE 1020
SAN FRANCISCO CA
94102-1301
US

V. Phone/Fax

Practice location:
  • Phone: 415-291-8668
  • Fax:
Mailing address:
  • Phone: 415-291-8668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number45663
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: