Gary Chen, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29507 Issued in TX

Practice address

USA Dentac
Snyder Dental Clinic
Fort Eisenhower, GA 30905

Phone

(706) 787-7050

Fax

(706) 787-5107

NPI assigned

Mar 19, 2014

Last updated

Mar 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1841617586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BUILDING 25501, BRAINARD AVENUE",
            "city": "FORT EISENHOWER",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "907-406-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA DENTAC",
            "address_2": "SNYDER DENTAL CLINIC",
            "city": "FORT EISENHOWER",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-787-7050",
            "fax_number": "706-787-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "GARY",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-19",
        "last_updated": "2024-03-15",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Price Caldwell Sr., M.D.
• Christina Janelle Campo Ford, PA-C
• Jane Emily Carnett, RDN
• George Timothy Cassidy, PA-C
• Chloe Chai
• Joyce Ann Clem, PHD,LPC, NCC, MAC
• Alicia Clement
• Sylvester Cobbina, O.D
• David Wilson Coffin, M.D.
• Donald Francis Colantonio III, M.D.

• General Practice Dentistry in Fort Eisenhower, GA
• Providers in Fort Eisenhower, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.