Provider Demographics
NPI:1659375988
Name:NIEN, JESSICA YIH-WEN (DDS)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:YIH-WEN
Last Name:NIEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:991 MONTAGUE EXPY
Mailing Address - Street 2:SUITE #108
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-6818
Mailing Address - Country:US
Mailing Address - Phone:408-262-8747
Mailing Address - Fax:408-262-8009
Practice Address - Street 1:991 MONTAGUE EXPY
Practice Address - Street 2:SUITE #108
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-6818
Practice Address - Country:US
Practice Address - Phone:408-262-8747
Practice Address - Fax:408-262-8009
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA442341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice