Individual provider · Type 1 NPI
Jordan Phen, DDS
Dentist · Lincoln, CA
Practice location
688 Cabra St
Lincoln, CA 95648-8841
Other practice locations
- 1365 Clifton Rd NE, Atlanta, GA 30322-1013 · (404) 778-5279
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Dentist Primary | 122300000X | 019.036258 (IL) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
Another provider at this address
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- Nelson J.o. Wong, DDSDentist Lincoln, CA NPI 1639282569
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About NPI 1831993716
Jordan Phen, DDS's National Provider Identifier is 1831993716, issued on Apr 1, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Lincoln, CA. The record was last updated on Jun 14, 2026.