Healthcare Provider Details

I. General information

NPI: 1609349935
Provider Name (Legal Business Name): YEE YAN CHEN, DMD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2019
Last Update Date: 01/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 EXCHANGE ST
MALDEN MA
02148
US

IV. Provider business mailing address

15 WILLIAMS RD
LEXINGTON MA
02420-3326
US

V. Phone/Fax

Practice location:
  • Phone: 781-627-5297
  • Fax:
Mailing address:
  • Phone: 646-623-7459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YEE YAN CHEN
Title or Position: OWNER
Credential: DMD
Phone: 781-627-5297