IndividualActive
Jimmy Chen, DMD
NPI 1760038046 · Prosthodontics · Fort Wainwright, AK
Provider details
- NPI number
- 1760038046
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DS042307 (PA)
Specialties & taxonomies
Dental Providers
Practice location
3406 Alder Ave
Fort Wainwright, AK 99703
Phone: (907) 353-2917
Approximate (ZIP-level) locationGet directions
Mailing address
2933 Henry St Apt 5
Augusta, GA 30909-3878
Registry dates
- Enumerated
- 2019-08-13
- Last updated
- 2024-09-10
- Certified
- 2024-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.