Chen, Peter S

Chen, Peter S is an individual health care provider with primary practice located at 1471 Johns Lake Rd Ste 1 , Clermont FL 34711. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Chen, Peter S can be contacted via phone (617) 784-1970.

Contact Information

Primary practice address
1471 Johns Lake Rd Ste 1 Clermont FL 34711
Phone: (617) 784-1970
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 20256 Massachusetts
Dental Providers / Endodontics 1223E0200X 17794 Florida

Profile Details

NPI number 1013073568
LBN Legal business name Chen, Peter S
Credentials D.M.D., M.M.SC.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Jun 20th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013073568 NPPES
Massachusetts Other X11812 BLUE CROSS & BLUE SHIELD
Massachusetts Other 1942689807 BLUE CROSS & BLUE SHIELD

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