Provider Demographics
NPI:1356835128
Name:CHEN, ZHUOXUN (DDS, PHD)
Entity Type:Individual
Prefix:DR
First Name:ZHUOXUN
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:DDS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13942 BROMFIELD RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-2293
Mailing Address - Country:US
Mailing Address - Phone:301-250-0867
Mailing Address - Fax:
Practice Address - Street 1:200 FORBES ST STE 301
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1555
Practice Address - Country:US
Practice Address - Phone:443-603-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-15
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16446122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist