Jeffrey Phen DDS A Dental Corporation
NPI 1740466572ActiveOrganization· Dentist, General Practice· Stockton, CA
Dentist, General Practice in Stockton, California, registered in NPPES in January 2008. The authorized official on file is Jeffrey Phen, DDS, Dentist.
Overview
| NPI | 1740466572 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 10, 2008 |
| Last updated in NPPES | Jul 8, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 44988 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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