Provider Demographics
NPI:1326733973
Name:EILEEN LIN CHEN, DDS, PLLC
Entity Type:Organization
Organization Name:EILEEN LIN CHEN, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN-MIZUUCHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:469-301-1255
Mailing Address - Street 1:5000 COLLIN MCKINNEY PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-1529
Mailing Address - Country:US
Mailing Address - Phone:469-301-1255
Mailing Address - Fax:
Practice Address - Street 1:5000 COLLIN MCKINNEY PKWY STE 100
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-1529
Practice Address - Country:US
Practice Address - Phone:469-301-1255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty