Provider Demographics
NPI:1083845986
Name:CHEW, JENNIFER HONG (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:HONG
Last Name:CHEW
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 EL CAMINO REAL
Mailing Address - Street 2:305
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010
Mailing Address - Country:US
Mailing Address - Phone:650-692-5600
Mailing Address - Fax:650-692-5601
Practice Address - Street 1:1860 EL CAMINO REAL
Practice Address - Street 2:305
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010
Practice Address - Country:US
Practice Address - Phone:650-692-5600
Practice Address - Fax:650-692-5601
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2022-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58471122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist