Provider Demographics
NPI:1568655371
Name:CHEN, HARRISON LON (DDS, PC)
Entity Type:Individual
Prefix:
First Name:HARRISON
Middle Name:LON
Last Name:CHEN
Suffix:
Gender:M
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 E 60TH ST STE 1401
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1320
Mailing Address - Country:US
Mailing Address - Phone:212-755-5570
Mailing Address - Fax:212-755-5572
Practice Address - Street 1:30 E 60TH ST STE 1401
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1320
Practice Address - Country:US
Practice Address - Phone:212-755-5570
Practice Address - Fax:212-755-5572
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0097651223S0112X
NY0535471223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery