NPI Profile for JEFFERY CHEN in FORT CAMPBELL, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Dentist |
122300000X |
| NPI Number | 1164902664 |
|
| Status | Active | |
| Credentials | DMD (Doctor of Medical Dentistry) | |
| Entity | Individual | |
| Enumeration date | 08/15/2018 | |
| Last updated | 05/14/2026 - About 3 weeks ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JEFFERY CHEN
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