Individual
MICHELLE CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11853
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN10001243
MA
Other
Enumeration date
04/22/2020
Last updated
07/13/2026
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