Healthcare Provider Details

I. General information

NPI: 1639018500
Provider Name (Legal Business Name): JEAN Y. CHEN ,DMD, MS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2611 NE 125TH ST STE 230
SEATTLE WA
98125-4357
US

IV. Provider business mailing address

2611 NE 125TH ST STE 230
SEATTLE WA
98125-4357
US

V. Phone/Fax

Practice location:
  • Phone: 206-361-4838
  • Fax:
Mailing address:
  • Phone: 206-361-4838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JEAN CHEN
Title or Position: OWNER
Credential: DMD, MS
Phone: 206-361-4838