Provider Demographics
NPI:1962823286
Name:CHEN, JOSEPH J (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:J
Last Name:CHEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5512 E BRITTON DR STE 204
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-3150
Mailing Address - Country:US
Mailing Address - Phone:562-493-0693
Mailing Address - Fax:562-431-8402
Practice Address - Street 1:5512 E BRITTON DR STE 204
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-3150
Practice Address - Country:US
Practice Address - Phone:562-493-0693
Practice Address - Fax:624-318-4025
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-05
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA629821223P0700X, 1223G0001X
TX315341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223P0700XDental ProvidersDentistProsthodontics