CHRISTY MARY JEN D.D.S. NPI 1376838714

NPI Information

Christy Mary Jen, D.D.S. is a pediatric dentistry dentist in Anchorage, AK. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Christy Mary Jen, D.D.S. NPI is 1376838714. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4200 LAKE OTIS PKWY
ANCHORAGE, AK
ZIP 99508
Phone: (907) 562-1003

The NPI 1376838714 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/14/2011 and was last updated on 8/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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