Provider Demographics
NPI:1558777979
Name:CHEN, DAVID WEN CHI (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WEN CHI
Last Name:CHEN
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 1:13232 41ST AVE APT 4A
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4897
Mailing Address - Country:US
Mailing Address - Phone:860-879-1278
Mailing Address - Fax:
Practice Address - Street 1:132 N PARK AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-4107
Practice Address - Country:US
Practice Address - Phone:516-665-1029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-07
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program