Individual
JENNIFER M CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
688 HANCOCK ST, QUINCY, QUINCY, MA 02170-2814
(617) 984-5888
(617) 984-5822
Mailing address
688 HANCOCK ST, QUINCY, QUINCY, MA 02170-2814
(617) 984-5888
(617) 984-5822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
049407
NY
1223G0001X
General Practice Dentistry
Primary
20147
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200891
MASSHEALTH
MA
01
—
X11526
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/20/2006
Last updated
07/08/2007
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