Provider Demographics
NPI:1861590416
Name:CHEN, HONG (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:HONG
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5318 NC HIGHWAY 55
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9659
Mailing Address - Country:US
Mailing Address - Phone:919-237-2818
Mailing Address - Fax:
Practice Address - Street 1:5318 NC HIGHWAY 55
Practice Address - Street 2:SUITE 201
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-9659
Practice Address - Country:US
Practice Address - Phone:919-237-2818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC77071223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics