Provider Demographics
NPI:1194809343
Name:CHEN, FRANK J (DDS)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:CHEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:1350 TRAVIS BLVD
Mailing Address - Street 2:#1447B
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-4646
Mailing Address - Country:US
Mailing Address - Phone:707-428-1000
Mailing Address - Fax:707-428-1274
Practice Address - Street 1:1350 TRAVIS BLVD
Practice Address - Street 2:#1447B
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-4646
Practice Address - Country:US
Practice Address - Phone:707-428-1000
Practice Address - Fax:707-428-1274
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA480931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice