Provider Demographics
NPI:1720250608
Name:CHEN, YEN-CHEN JENNIFER (DDS)
Entity Type:Individual
Prefix:DR
First Name:YEN-CHEN
Middle Name:JENNIFER
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 1:2752 FORGUE DR
Mailing Address - Street 2:SUITE #118
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-4155
Mailing Address - Country:US
Mailing Address - Phone:630-420-2465
Mailing Address - Fax:630-420-7566
Practice Address - Street 1:2752 FORGUE DR.
Practice Address - Street 2:SUITE 118
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-4161
Practice Address - Country:US
Practice Address - Phone:630-420-2465
Practice Address - Fax:630-420-7566
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-31
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190230051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL939763OtherBRIGHT DENTAL INC. NPI #