Dr. Peter S Chen
Endodontist
1471 Johns Lake Rd Ste 1
Clermont
, Florida 34711
Dr. Peter S Chen
Endodontist
1471 Johns Lake Rd Ste 1
Clermont
, Florida 34711
(617) 784-1970
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Peter S Chen
- 1471 Johns Lake Rd Ste 1
- Clermont, FL
- Zip : 34711-7005
- Phone : (617) 784-1970
Second Address
- Dr. Peter S Chen
- 1471 Johns Lake Rd Ste 1
- Clermont, FL
- Zip : 34711
- Phone : (617) 784-1970
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 17794 | FL |
| N | 1223E0200X | Endodontist | 20256 | MA |
National Provider Identifier
| NPI | 1013073568 |
|---|---|
| Provider Name | Dr. Peter S Chen |
| First Address | Clermont, FL 34711-7005 |
| Second Address | Clermont, FL 34711 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/12/2006 |
| Last Update Date | 20/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1942689807 | NPI TYPE 2 (01) | FL |
| X11812 | BLUE CROSS & BLUE SHIELD (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.