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NPI Code Detail

MEDICARE: DR. AMY CHEN D.D.S.

MEDICARE: DR. AMY CHEN D.D.S.
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
11223G0001XGeneral Practice Dentistry22502TX
21223G0001XGeneral Practice DentistryDDS54651CA

General Provider Information

NPI Number : 1215066691
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY CHEN D.D.S.
Provider Business Mailing Address
First Line : 11 VALLEY FORGE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77024-6318
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9288 BELLAIRE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77036-4502
Country : US
Telephone Number : 713-270-7044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2007
Last Update Date : 07/08/2007

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Directions to “ DR. AMY CHEN D.D.S.” Practice Location

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