Individual provider · Type 1 NPI

Jacob Xavier Phen

General Practice Dentistry · Stockton, CA

NPI number 1447973151 Active

Practice location

850 W March Ln Ste B
Stockton, CA 95207-6207

Call (209) 479-4199 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X107806 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1447973151

Jacob Xavier Phen's National Provider Identifier is 1447973151, issued on Sep 19, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Stockton, CA. The record was last updated on Sep 19, 2022.