Shaowei Chen, DDS
Individual provider Active NPI Dentist · Orange, CT
NPI 1710326103 · NPPES record last updated Jul 8, 2014
Key facts
- NPI
- 1710326103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2901021022 (MI)
- Practice address
- 778 Mapledale Rd
Orange, CT 06477-1704 - Phone
- (561) 809-5250
- NPI assigned
- Jun 18, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901021022 | MI | MD | Dentist |
| 011096 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaowei Chen DDS Family Dentistry LLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901021022 | MI | Yes |
| General Practice Dentistry | 1223G0001X | 011096 | CT |
Addresses
Primary practice location
778 Mapledale Rd
Orange, CT 06477-1704
Mailing address
778 Mapledale Rd
Orange, CT 06477-1704
Phone (561) 809-5250
Other providers in Orange, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.