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VENETIAN SQUARE FAMILY DENTAL
NPI 1740466572
Dentist - General Practice in Stockton, CA

Active since January 10, 2008
850 W MARCH LN, SUITE B, STOCKTON, CA 95207(209) 474-0888(209) 474-3342 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Venetian Square Family Dental NPPES

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

VENETIAN SQUARE FAMILY DENTAL (NPI 1740466572) is a healthcare organization registered as a general practice in Stockton, California and active in the NPI registry since January 2008. The organization lists Jeffrey Phen, Dentist, as its authorized official.

NPPES Registry Identity

NPI1740466572
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJEFFREY PHEN DDS A DENTAL CORPORATION
Location Address850 W MARCH LN, SUITE BStockton, CA 95207-6207
Mailing Address850 W March Ln, Suite BStockton, CA 95207-6207 · (209) 474-0888 · Fax (209) 474-3342
Phone(209) 474-0888
Fax(209) 474-3342
Organization SubpartNo
Authorized OfficialJeffrey PhenDentist · (209) 474-0888
Enumeration DateJanuary 10, 2008
Last NPPES UpdateJuly 8, 2010
✔ NPI 1740466572 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 · 44988
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, Stockton, CA 95207
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Other Names 1

Doing Business AsVenetian Square Family Dental

Other Identifiers 2

MedicaidG91849CA
OtherG91849CA · Delta Dental Heathy Famil

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY PHEN DDS
Dentist (General Practice)
850 W MARCH LN, SUITE B
STOCKTON, CA 95207
San Joaquin County (209) 474-0888

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 Jeffrey Phen Dds A Dental Corporation's NPI number?

The NPI number for Jeffrey Phen Dds A Dental Corporation is 1740466572. It was assigned to this organization in the NPPES registry on January 10, 2008. The provider is doing business as Venetian Square Family Dental.

Where is Jeffrey Phen Dds A Dental Corporation located?

Jeffrey Phen Dds A Dental Corporation is located at 850 W March Ln Suite B, Stockton, CA 95207. The listed phone number is (209) 474-0888.

What is Jeffrey Phen Dds A Dental Corporation's specialty?

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

What insurance does Jeffrey Phen Dds A Dental Corporation accept?

Health plans from UnitedHealthcare list Jeffrey Phen Dds A Dental Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Phen Dds A Dental Corporation was last updated on July 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.