Provider Demographics
NPI:1316172034
Name:CHEN, JOEY CHOU-YIE (DDS)
Entity type:Individual
Prefix:DR
First Name:JOEY
Middle Name:CHOU-YIE
Last Name:CHEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:CHOU YIE
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:670 COUNTY ROAD 83
Mailing Address - Street 2:
Mailing Address - City:CANBY
Mailing Address - State:CA
Mailing Address - Zip Code:96015
Mailing Address - Country:US
Mailing Address - Phone:510-427-6028
Mailing Address - Fax:
Practice Address - Street 1:670 COUNTY ROAD 83
Practice Address - Street 2:
Practice Address - City:CANBY
Practice Address - State:CA
Practice Address - Zip Code:96015
Practice Address - Country:US
Practice Address - Phone:510-427-6028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58286122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist