Provider Demographics
NPI:1588122808
Name:CHEN, JASON XIN (DDS)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:XIN
Last Name:CHEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8404 PRESTON RD STE 212
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3332
Mailing Address - Country:US
Mailing Address - Phone:469-731-8910
Mailing Address - Fax:
Practice Address - Street 1:900 S PRESTON RD # 70
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-5143
Practice Address - Country:US
Practice Address - Phone:469-459-0403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2025-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX366231223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice