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Alex Yen DDS INC

Dentist in San Mateo, CA. Organization (NPI-2).

NPI number1366340705
StatusActive
Last updated in NPPESOct 27, 2026

Details

NPI
1366340705
Entity type
Organization (NPI-2)
Legal business name
Alex Yen DDS INC
Organization subpart
No
Enumeration date
Oct 27, 2026
Certification date
Oct 27, 2026
Last updated
Oct 27, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Practice location

256 N San Mateo Dr Ste 8
San Mateo, CA 94401-2670

Phone 650-342-9016

Mailing address

256 N San Mateo Dr Ste 8
San Mateo, CA 94401-2670

Phone 650-342-9016

Authorized official

Alex Yen
Provider
4085056695

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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