Provider Demographics
NPI:1104613389
Name:CHEN, SOPHIA (DDS)
Entity type:Individual
Prefix:DR
First Name:SOPHIA
Middle Name:
Last Name:CHEN
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1903 E MARSHALL ST APT 306
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-7112
Mailing Address - Country:US
Mailing Address - Phone:850-377-4221
Mailing Address - Fax:
Practice Address - Street 1:4722 N SOUTHSIDE PLAZA ST STE 24
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-1742
Practice Address - Country:US
Practice Address - Phone:804-533-7634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program