Provider Demographics
NPI:1376712240
Name:WEI-TZE CHEN, P.C.
Entity Type:Organization
Organization Name:WEI-TZE CHEN, P.C.
Other - Org Name:SIGNIFICANCE DENTAL SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:WT
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,MS
Authorized Official - Phone:702-547-9977
Mailing Address - Street 1:6018 S FORT APACHE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5611
Mailing Address - Country:US
Mailing Address - Phone:702-547-9977
Mailing Address - Fax:702-547-9982
Practice Address - Street 1:6018 S FORT APACHE RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5611
Practice Address - Country:US
Practice Address - Phone:702-547-9977
Practice Address - Fax:702-547-9982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS7-511223E0200X
NVS7-591223E0200X
NVS4-311223P0300X
NVS4-531223P0300X
NVS3--1211223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty
No1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty