George D. Chen in Eagle - General Practice

George D. Chen - NPI 1154449163

George D. Chen is a General Practice in Eagle, Idaho. George D. Chen practices all healthcare services and medical treatments related to General Practice. The NPI Number for George D. Chen is 1154449163. The last update date is 2022-01-19.

George D. Chen's current location address is 1564 E Crowne Point Dr, Eagle, Idaho. You can contact this provider via phone number 9165082435 and fax number 9169836201. The mailing address for George D. Chen is 1564 E Crowne Point Dr, Eagle, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name George D. Chen
Address 1564 E Crowne Point Dr, Eagle, Idaho
Phone Number 9165082435
Fax Number 9169836201
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1154449163
Provider Enumeration Date 2007-03-27
Last Updated Date 2022-01-19

Provider Mailing Address Detail

Address 1564 E Crowne Point Dr
City Eagle
State Idaho (ID)
Post Code 83616
Phone Number 9165082435
Fax Number 9169836201

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 39384
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39384 CA STATE LICENSE NUMBER

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FAQs about George D. Chen

What is the George D. Chen's 1154449163?

The George D. Chen's NPI (National Provider Identifier) Number is 1154449163. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the George D. Chen's physical address?

The George D. Chen is physically located at 1564 E Crowne Point Dr, in the city of Eagle, ID, with the postal code 83616.

What is George D. Chen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for George D. Chen is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1154449163 to George D. Chen?

The Centers for Medicare & Medicaid Services assigned the 1154449163 to George D. Chen on 2007-03-27.

As of what date were the details pertaining to George D. Chen last refreshed?

The information related to the George D. Chen, including its address, specialty, and other relevant details, was last updated on 2022-01-19.

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