Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jordan Phen, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831993716

Dr. Jordan Phen, DDS is a Student in an Organized Health Care Education/Training Program in Lincoln, California. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Lincoln, CA

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 — (404) 778-5279

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.036258 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831993716
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 1, 2025
Last updated in NPPESJune 14, 2026
Certification dateJune 14, 2026

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