Provider Demographics
NPI:1447793971
Name:JJC DENTAL PLLC
Entity Type:Organization
Organization Name:JJC DENTAL PLLC
Other - Org Name:CARE SMILE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-823-3688
Mailing Address - Street 1:200 AYER RD
Mailing Address - Street 2:STE A
Mailing Address - City:HARVARD
Mailing Address - State:MA
Mailing Address - Zip Code:01451-1158
Mailing Address - Country:US
Mailing Address - Phone:617-823-3688
Mailing Address - Fax:978-456-0408
Practice Address - Street 1:200 AYER RD
Practice Address - Street 2:STE A
Practice Address - City:HARVARD
Practice Address - State:MA
Practice Address - Zip Code:01451-1158
Practice Address - Country:US
Practice Address - Phone:978-456-0888
Practice Address - Fax:978-456-0408
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JJC DENTAL PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-12-01
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty