Provider Demographics
NPI:1760619233
Name:CHEN, MICHAEL HSIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:HSIN
Last Name:CHEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7660 COVINGTON HIGHWAY STE 1
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058
Mailing Address - Country:US
Mailing Address - Phone:770-482-2964
Mailing Address - Fax:
Practice Address - Street 1:7660 COVINGTON HIGHWAY
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058
Practice Address - Country:US
Practice Address - Phone:770-482-2964
Practice Address - Fax:770-482-1396
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN013888122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist