Provider Demographics
NPI:1396958831
Name:CHU, JEFFREY CHIN-LEI (DDS)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:CHIN-LEI
Last Name:CHU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6840 S MASON RD STE 600
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-7145
Mailing Address - Country:US
Mailing Address - Phone:832-321-5799
Mailing Address - Fax:832-321-5789
Practice Address - Street 1:6840 S MASON RD STE 600
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-7145
Practice Address - Country:US
Practice Address - Phone:323-215-7998
Practice Address - Fax:832-321-5789
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052214122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist