Healthcare Provider Details

I. General information

NPI: 1033909692
Provider Name (Legal Business Name): JAMIE CHEN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 NEW BRITAIN AVE
HARTFORD CT
06106-3889
US

IV. Provider business mailing address

408 NEW BRITAIN AVE
HARTFORD CT
06106-3889
US

V. Phone/Fax

Practice location:
  • Phone: 860-263-8544
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14860
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: