Provider Demographics
NPI:1912058793
Name:CHEN, ZHIJIAN (DDS, MS)
Entity Type:Individual
Prefix:
First Name:ZHIJIAN
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4842 PERIWINKLE CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3080
Mailing Address - Country:US
Mailing Address - Phone:281-313-3673
Mailing Address - Fax:713-589-8774
Practice Address - Street 1:9889 BELLAIRE BLVD
Practice Address - Street 2:SUITE 322
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3463
Practice Address - Country:US
Practice Address - Phone:713-995-0086
Practice Address - Fax:713-589-8774
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX223721223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics