Provider Demographics
NPI:1417076522
Name:CHIEN, PETER Y (DMD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:Y
Last Name:CHIEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 MERIDIAN AVE E STE C
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98371-1032
Mailing Address - Country:US
Mailing Address - Phone:253-952-6112
Mailing Address - Fax:
Practice Address - Street 1:2222 MERIDIAN AVE E STE C
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98371-1032
Practice Address - Country:US
Practice Address - Phone:253-952-6112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE10002122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist