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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JORDAN PHEN DDS
NPI 1831993716
Dentist in Lincoln, CA

Active since April 01, 2025
688 CABRA ST, LINCOLN, CA 95648(916) 878-1755 Get Directions Write a Review

NPPES record last updated: June 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jordan Phen Dds NPPES

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

DR. JORDAN PHEN DDS (NPI 1831993716) is an individual dentist in Lincoln, California, licensed in Illinois (019.036258) and active in the NPI registry since April 2025. He maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1831993716
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JORDAN PHENCredential: DDS
Location Address688 CABRA STLincoln, CA 95648-8841
Mailing Address688 Cabra StLincoln, CA 95648-8841
Phone(916) 878-1755
Sole ProprietorNo
Enumeration DateApril 1, 2025
Last NPPES UpdateJune 14, 2026
NPPES CertifiedJune 14, 2026
✔ NPI 1831993716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.036258
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
688 CABRA ST, Lincoln, CA 95648
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Secondary Practice Location 1

Location 11365 Clifton Rd NEAtlanta, GA 30322-1013 · Phone (404) 778-5279

Other Providers at the Same Location NPPES

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

CAMERON PHEN
Student in an Organized Health Care Education/Training Program
688 CABRA ST
LINCOLN, CA 95648
Placer County (916) 899-8386

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 Jordan Phen's NPI number?

The NPI number for Jordan Phen is 1831993716. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Jordan Phen located?

Jordan Phen practices at 688 Cabra St, Lincoln, CA 95648. The listed phone number is (916) 878-1755.

What is Jordan Phen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jordan Phen was last updated on June 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.