Provider Demographics
NPI:1992016711
Name:TSENG, FEN MINH (DDS)
Entity Type:Individual
Prefix:DR
First Name:FEN
Middle Name:MINH
Last Name:TSENG
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 1:105 LAVENDER CT
Mailing Address - Street 2:
Mailing Address - City:BELLE CHASSE
Mailing Address - State:LA
Mailing Address - Zip Code:70037-1660
Mailing Address - Country:US
Mailing Address - Phone:225-278-0438
Mailing Address - Fax:
Practice Address - Street 1:1729 LAFAYETTE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70053-5775
Practice Address - Country:US
Practice Address - Phone:504-227-8577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-25
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA60351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice