Provider Demographics
NPI:1598883647
Name:ALLEN CHEN DDS, P.C.
Entity Type:Organization
Organization Name:ALLEN CHEN DDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-491-8988
Mailing Address - Street 1:4625 AUSTIN PKWY
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2146
Mailing Address - Country:US
Mailing Address - Phone:281-491-8988
Mailing Address - Fax:281-491-8729
Practice Address - Street 1:4625 AUSTIN PKWY
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2146
Practice Address - Country:US
Practice Address - Phone:281-491-8988
Practice Address - Fax:281-491-8729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX197841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB19784OtherTEXAS CHIP
TX1303328OtherUNITED CONCORDIA
TXD19784OtherBLUE CROSS BLUE SHIELD