JEFFERY CHEN (NPI# 1164902664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164902664 |
| Entity Type | Individual |
| Full Name | JEFFERY CHEN |
| Credential | DMD |
| Practice Address |
11334 Ssg Sims Blvd Fort Bliss TX 79908 |
| Practice Telephone | 9157420086 |
| Mailing Telephone | 9157420086 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS041728 | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962470138 | Jeffery L Chen | Hospitalist | 939 Caroline St, Port Angeles, WA 98362-3909 | 2006-03-14 |
| 1386628006 | Jeffery Chen | Dentist | 1313 W Bogart Rd, Sandusky, OH 44870-5704 | 2005-12-06 |
| Street Address |
11334 SSG SIMS BLVD |
| City | FORT BLISS |
| State | TX |
| Zip Code | 79908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192625 | Spencer Lyn Rogers | Dentist | 11334 Ssg Sims St, Fort Bliss, AP 79908 | 2020-10-22 |
| 1275089807 | Jaqueline Mendoza | Dental Assistant | 11334 Ssg Sims, Ft. Bliss, TX 79908 | 2016-09-01 |
| 1750838207 | Iliana Duran | Dental Assistant | 11334 Ssg Sims Rd, Ft. Bliss, TX 79908 | 2016-09-01 |
| 1528327962 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Bldg. 1611, Fort Bliss, TX 79908 | 2012-05-04 |
| 1811444326 | Claudia V Medrano | Dental Assistant | 11334 Ssg Sims Rd, Fort Bliss, TX 79908 | 2016-09-01 |
| 1871049403 | Angelica Cruz | Dental Assistant | 11334 Ssg Sims Rd, Biggs Field, TX 79908 | 2016-09-01 |
| 1972050417 | Jannet Nunez | Dental Assistant | 11334 Ssg Sims, Fort Bliss, TX 79908 | 2016-09-01 |
| 1881140416 | Viridiana Gutierrez | Dental Assistant | 11334 Ssg Sims Rd, Ft. Bliss, TX 79908 | 2016-09-01 |
| 1740706522 | Christina Murphy | Behavior Technician | 13315 Wendover Unit A, El Paso, TX 79908-1144 | 2017-08-14 |
| 1154969244 | Anna Nichole Kirchoff | Nurse Practitioner | 11761 Sgm Christian Fleetwood St, El Paso, TX 79908-3226 | 2019-12-19 |
| Find all providers in zip 79908 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558886911 | Aaron M Lazuka | Dentist | Bldg 128 Chaffe Rd., Fort Bliss, TX 79916 | 2017-08-07 |
| 1508114323 | Shakasha L. Scruggs-williams | Dentist | Bldg 128, Chaffee Road, Usa Dental Activity, Fort Bliss, TX 79916 | 2012-08-28 |
| 1811244353 | James Lashawn Parker | Dentist | Blgd 2954 Carrington Rd, Fort Bliss, TX 79916 | 2012-08-14 |
| 1073524427 | Valerie E. Holmes | Dentist | Chaffee Rd Bldg 128, Fort Bliss, TX 79916-7011 | 2006-08-11 |
| 1447878350 | Hunter William Fromm | Dentist | 2954 Carrington Road, Fort Bliss, TX 79916 | 2020-07-07 |
| 1730735622 | Kylee Deiter | Dentist | 2954 Carrington Rd, Dental Clinic #3, Fort Bliss, TX 79916 | 2019-08-15 |
| 1386290260 | Caitlyn Addie Menicucci | Dentist | 2954 Carrington Road, Fort Bliss, TX 79916 | 2019-08-15 |
| 1447805973 | Aqib Nawaz Khan | Dentist | Usa Dental Activity, 2901 Cassidy Rd, Fort Bliss, TX 79916 | 2019-08-01 |
| 1114114568 | Alan J Lane | Dentist | 128 Chaffee Road, Fort Bliss, TX 79906-3811 | 2007-10-01 |
| 1710953021 | Harvard Sadao Horiuchi | Dentist | 128 Chaffee Road, Fort Bliss, TX 79906-3811 | 2006-02-27 |
| Find all providers in FORT BLISS | ||||
| City | FORT BLISS |
| Zip Code | 79908 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.