National Provider Identifier Database

JOSEPH PHEN DENTIST A DENTAL CORPORATION
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

JOSEPH PHEN, DENTIST, A DENTAL CORPORATION
8351 ELK GROVE BLVD STE 300
ELK GROVE, CA95758-5515
Phone: 916-691-6997
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for JOSEPH PHEN, DENTIST, A DENTAL CORPORATION

NPI Number 1164820130
Legal business name
LBN
JOSEPH PHEN, DENTIST, A DENTAL CORPORATION
Authorized official JOSEPH PHEN - (DENTIST)
Entity Organization
Organization subpart No
Enumeration date 12/08/2014
Last updated 12/08/2014 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 45172
  • CA Other: 1285691907 DENTISTRY

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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