Hong Yu Chen, DDS

Individual provider Active NPI General Practice Dentistry · Duvall, WA

NPI 1457583353 · NPPES record last updated Nov 18, 2011

Key facts

NPI
1457583353
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DE60073873 (WA)
Practice address
14142 Main St NE
104
Duvall, WA 98019-9007
Phone
(425) 224-6890
NPI assigned
Aug 11, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150715002586 WA Order and Referring Only - Oral Surgery
Practitioner - Oral Surgery
4880907104

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60073873 WA Yes

Addresses

Primary practice location

14142 Main St NE
104
Duvall, WA 98019-9007

Mailing address

14142 Main St NE
104
Duvall, WA 98019-9007
Phone (425) 224-6890

Other names

  • Dr. Jessica Chen Other name

Other providers in Duvall, WA

All providers in Duvall, WA · General Practice Dentistry in Washington

Sources for this page

Verify at the official NPI Registry.