Provider Demographics
NPI:1184148736
Name:CHEN, JUI-YU BELLE (DMD)
Entity type:Individual
Prefix:
First Name:JUI-YU BELLE
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:BELLE
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:270 ELMWOOD RD N STE H140
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-2377
Mailing Address - Country:US
Mailing Address - Phone:856-291-6888
Mailing Address - Fax:856-446-6662
Practice Address - Street 1:270 ELMWOOD RD N STE H140
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053
Practice Address - Country:US
Practice Address - Phone:856-291-6888
Practice Address - Fax:856-446-6662
Is Sole Proprietor?:No
Enumeration Date:2017-07-26
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02742300122300000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program