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.

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Practice location Address checks out

688 Cabra St
Lincoln, CA 95648-8841
Phone: (916) 878-1755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

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
Mailing address688 Cabra St, Lincoln, CA 95648-8841

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