Provider Demographics
NPI:1235410200
Name:CHEN, JOHN CHUN-FU (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CHUN-FU
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 1:6240 S MAIN ST STE 215
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-5413
Mailing Address - Country:US
Mailing Address - Phone:303-627-5755
Mailing Address - Fax:
Practice Address - Street 1:6240 S MAIN ST STE 215
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5413
Practice Address - Country:US
Practice Address - Phone:303-627-5755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-06
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA602931223P0700X
CO106931223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics