DR. Jordan Phen, DDS

NPI #1831993716 in Lincoln, California

Provider Information

NPI Number: 1831993716
Entity Type: Individual
Name: DR. Jordan Phen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 1, 2025
Last Updated: Jul 23, 2025

Practice Location

Address: 688 CABRA ST
City: Lincoln
State: California
ZIP Code: 95648-8841
Phone: (916) 878-1755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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