DR. JACOB XAVIER PHEN
NPI 1447973151
Dentist - General Practice in Stockton, CA

Active since September 19, 2022
850 W MARCH LN STE B, STOCKTON, CA 95207(209) 479-4199 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jacob Xavier Phen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB XAVIER PHEN (NPI 1447973151) is an individual general practice provider in Stockton, California, licensed in California (107806) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1447973151
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACOB XAVIER PHEN
Location Address850 W MARCH LN STE BStockton, CA 95207-6207
Mailing Address850 W March Ln Ste BStockton, CA 95207-6207 · (209) 479-4199
Sole ProprietorNo
Enumeration DateSeptember 19, 2022
NPPES CertifiedSeptember 19, 2022
NPI 1447973151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 107806
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

850 W MARCH LN STE B, Stockton, CA 95207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Phen's NPI number?

The NPI number for Jacob Phen is 1447973151. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Where is Jacob Phen located?

Jacob Phen practices at 850 W March Ln Ste B, Stockton, CA 95207. The listed phone number is (209) 479-4199.

What is Jacob Phen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jacob Phen was last updated on September 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.