Provider Demographics
NPI:1932252269
Name:CHEN, YEN-CHANG (DMD)
Entity Type:Individual
Prefix:
First Name:YEN-CHANG
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 CENTER ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-6316
Mailing Address - Country:US
Mailing Address - Phone:207-783-1351
Mailing Address - Fax:
Practice Address - Street 1:730 CENTER ST
Practice Address - Street 2:SUITE 7
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-6316
Practice Address - Country:US
Practice Address - Phone:207-783-1351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME36981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice