MEDICARE: JENNIFER MEGAN CHEN DMD

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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	065027-01	NY
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	14625	CT

General Provider Information

NPI Number	:	1588309736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MEGAN CHEN DMD

Provider Business Mailing Address
First Line	:	3112 38TH AVE APT 3A
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-2669
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3471 LONG BEACH RD
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-5424
Country	:	US
Telephone Number	:	516-536-5800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2022
Last Update Date	:	12/18/2025

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