| Richard S Chen Dds Ltd | |
|
41 Long Acre Drive Fairview Heights IL 62208-2644 | |
| (618) 234-6223 | |
| Not Available |
| Full Name | Richard S Chen Dds Ltd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 41 Long Acre Drive, Fairview Heights, Illinois |
| Authorized Official Name and Position | Richard S Chen (PRESIDENT) |
| Authorized Official Contact | 6182346223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard S Chen Dds Ltd 41 Long Acre Drive Fairview Heights IL 62208-2644 Ph: (618) 234-6223 | Richard S Chen Dds Ltd 41 Long Acre Drive Fairview Heights IL 62208-2644 Ph: (618) 234-6223 |
| NPI Number | 1568509552 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 09/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568509552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Missouri) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Illinois) | Primary |
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