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NPI Code Detail

MEDICARE: ERIC CHEN DDS, MS, INC.

MEDICARE: ERIC CHEN DDS, MS, INC.
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
11223S0112XOral and Maxillofacial Surgery (Dentist)
21223X0400XOrthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number : 1548197999
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERIC CHEN DDS, MS, INC.
Provider Business Mailing Address
First Line : 1472 SILVER LAKE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-1346
Country : US
Telephone Number : 310-405-3155
Fax Number :
Provider Business Practice Location Address
First Line : 1472 SILVER LAKE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-1346
Country : US
Telephone Number : 310-405-3155
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. ERIC CHEN
Credential : DDS, MS
Telephone Number : 310-405-3155
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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