Individual
JEFFERY CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
228 HAMILTON CROSSING DR, ALCOA, TN 37701-2262
(865) 463-5977
Mailing address
11334 SSG SIMS BLVD, FORT BLISS, TX 79908
(915) 742-0086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS041728
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
12406
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DS041728
PA
Other
Enumeration date
08/15/2018
Last updated
10/15/2024
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