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Contact Information

PETER S CHEN, D.M.D., M.M.SC.
1471 JOHNS LAKE RD STE 1
CLERMONT, FL34711
 Phone: 617-784-1970
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for PETER S CHEN · (Male)

NPI # 1013073568
Status Active
Credentials D.M.D., M.M.SC.
Entity Individual
Enumeration date 12/29/2006
Last updated 06/20/2018 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # 17794
  • MA License # 20256
  • FL Other 1942689807 NPI TYPE 2
  • MA Other X11812 BLUE CROSS & BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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