Provider Demographics
NPI:1609085539
Name:CHIAO, HELEN E (DMD, MMSC)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:E
Last Name:CHIAO
Suffix:
Gender:F
Credentials:DMD, MMSC
Other - Prefix:DR
Other - First Name:HELEN
Other - Middle Name:S
Other - Last Name:YOUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD, MMSC
Mailing Address - Street 1:120 E HARTSDALE AVE
Mailing Address - Street 2:APT 1S
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-3220
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:120 E HARTSDALE AVE
Practice Address - Street 2:APT 1S
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-3220
Practice Address - Country:US
Practice Address - Phone:425-455-0645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21690122300000X
NY055381-1122300000X
WADE60078345122300000X
CT11692122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist