Organization · Type 2 NPI

Joseph Phen, Dentist, A Dental Corporation

Preferred Provider Organization · Elk Grove, CA

NPI number 1164820130 Active

Practice location

8351 Elk Grove Blvd Ste 300
Elk Grove, CA 95758-5515

Specialties and licenses

TaxonomyCodeLicense
Preferred Provider Organization Primary 305R00000X45172 (CA)

Preferred Provider Organization: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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About NPI 1164820130

Joseph Phen, Dentist, A Dental Corporation's National Provider Identifier is 1164820130, issued on Dec 8, 2014. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Elk Grove, CA. The record was last updated on Dec 8, 2014.