Provider Demographics
NPI:1720352693
Name:WANG CHEN DENTAL CARE PLLC
Entity type:Organization
Organization Name:WANG CHEN DENTAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WANG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:718-886-5461
Mailing Address - Street 1:3915 MAIN ST
Mailing Address - Street 2:SUITE505
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5415
Mailing Address - Country:US
Mailing Address - Phone:718-886-5461
Mailing Address - Fax:718-886-5461
Practice Address - Street 1:3915 MAIN ST
Practice Address - Street 2:SUITE505
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5415
Practice Address - Country:US
Practice Address - Phone:718-886-5461
Practice Address - Fax:718-886-5461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0539781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty