Provider Demographics
NPI:1922587575
Name:CHEN, TIFFANY PEI-JOU (DDS)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:PEI-JOU
Last Name:CHEN
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 1:247 BERKLEY AVE
Mailing Address - Street 2:
Mailing Address - City:BELLE MEAD
Mailing Address - State:NJ
Mailing Address - Zip Code:08502-4650
Mailing Address - Country:US
Mailing Address - Phone:732-322-5733
Mailing Address - Fax:
Practice Address - Street 1:915 COUNTY ROAD 517 STE 23
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-4661
Practice Address - Country:US
Practice Address - Phone:908-441-8277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI027225001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice