PHEN DENTAL PROFESSIONAL CORPORATION
NPI 1457926057
Clinic/Center - Dental in Lincoln, CA
Active since May 25, 2021
About Phen Dental Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHEN DENTAL PROFESSIONAL CORPORATION (NPI 1457926057) is a healthcare organization registered as a dental in Lincoln, California and active in the NPI registry since May 2021. The organization lists Jennifer Phen, Office Manager, as its authorized official.
NPPES Registry Identity
NPI1457926057
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePHEN DENTAL PROFESSIONAL CORPORATION
Location Address109 FERRARI RANCH RD STE 100Lincoln, CA 95648-7423
Mailing Address109 Ferrari Ranch Rd Ste 100Lincoln, CA 95648-7423 · (916) 253-7000
Phone(916) 253-7000
Organization SubpartNo
Authorized OfficialJennifer PhenOffice Manager · (916) 337-5158
Enumeration DateMay 25, 2021
NPPES CertifiedMay 25, 2021
✔ NPI 1457926057 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
109 FERRARI RANCH RD STE 100, Lincoln, CA 95648
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457926057, enumerated as an "organization" on May 25, 2021.
The provider is located at 109 FERRARI RANCH RD STE 100 LINCOLN, CA 95648 and the phone number is (916) 253-7000.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
