OrganizationActive
Jeffrey Phen DDS a Dental Corporation
NPI 1740466572 · General Practice Dentistry · Stockton, CA
Jeffrey Phen DDS a Dental Corporation is a General Practice Dentistry organization in Stockton, CA (NPI 1740466572).
Provider details
- NPI number
- 1740466572
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Phen, Dentist(209) 474-0888
- License
- 44988 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
850 W March Ln
Suite B
Stockton, CA 95207-6207
Phone: (209) 474-0888
Fax: (209) 474-3342
Street-level locationGet directions
Mailing address
850 W March Ln
Stockton, CA 95207-6207
Other names (DBA / former)
- Doing business as
- Venetian Square Family Dental
Registry dates
- Enumerated
- 2008-01-10
- Last updated
- 2010-07-08
Frequently asked questions
- What is Jeffrey Phen DDS a Dental Corporation's NPI number?
- Jeffrey Phen DDS a Dental Corporation's National Provider Identifier (NPI) is 1740466572, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jeffrey Phen DDS a Dental Corporation?
- Jeffrey Phen DDS a Dental Corporation is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Jeffrey Phen DDS a Dental Corporation located?
- Jeffrey Phen DDS a Dental Corporation's practice location on file with NPPES is 850 W March Ln, Stockton, CA 95207-6207.
- What is Jeffrey Phen DDS a Dental Corporation's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Phen DDS a Dental Corporation is (209) 474-0888.
- Who is the authorized official for Jeffrey Phen DDS a Dental Corporation?
- The authorized official listed on Jeffrey Phen DDS a Dental Corporation's NPPES record is Jeffrey Phen, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jeffrey Phen DDS a Dental Corporation's NPI active?
- Yes — Jeffrey Phen DDS a Dental Corporation's NPI (1740466572) is active in the NPPES registry as of the last update on 2010-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.