Provider Demographics
NPI:1609029933
Name:CHEN, ALLEN (DDS)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX197841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice