Provider Demographics
NPI:1871848937
Name:CHEN, NANCY IAN
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:IAN
Last Name:CHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:147 JOSEPH ST
Mailing Address - Street 2:APT 1
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3157
Mailing Address - Country:US
Mailing Address - Phone:908-370-1447
Mailing Address - Fax:
Practice Address - Street 1:200 ROUTE 31
Practice Address - Street 2:SUITE 103
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5812
Practice Address - Country:US
Practice Address - Phone:908-237-5100
Practice Address - Fax:908-237-0051
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02477400122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist