Provider Demographics
NPI:1487786968
Name:CHEN, KYLEEN JIEH-LING (DDS)
Entity type:Individual
Prefix:
First Name:KYLEEN
Middle Name:JIEH-LING
Last Name:CHEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6301 W PARMER LN
Mailing Address - Street 2:SUITE #606
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-6801
Mailing Address - Country:US
Mailing Address - Phone:512-918-0888
Mailing Address - Fax:512-918-0886
Practice Address - Street 1:6301 W PARMER LN
Practice Address - Street 2:SUITE #606
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729-6801
Practice Address - Country:US
Practice Address - Phone:512-918-0888
Practice Address - Fax:512-918-0886
Is Sole Proprietor?:No
Enumeration Date:2007-03-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX195261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice