Chen, Emily Y

Chen, Emily Y is an individual health care provider with primary practice located at 1505 Stone Bridge Pkwy Suite 220, Woodstock GA 30189-8252. She recently has only one registered license in Dental Providers / Prosthodontics, which is considered as her primary health care specialty. Chen, Emily Y can be contacted via phone (678) 810-0881.

Contact Information

Primary practice address
1505 Stone Bridge Pkwy Suite 220 Woodstock GA 30189-8252
Phone: (678) 810-0881
Fax: (678) 810-0882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X DN014010 Georgia

Profile Details

NPI number 1770776403
LBN Legal business name Chen, Emily Y
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2007
Last updated Jun 13th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770776403 NPPES
Georgia MEDICAID 314992696A
Georgia MEDICAID ZG9079
Georgia Other 1418385

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