Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447973151 Individual Practitioner Male Practitioner

Jacob Xavier Phen

Dentist - General Practice • Stockton, CA

Professional Overview & Biography Verified Profile Summary

Jacob Phen is a registered healthcare professional specializing in Dentist - General Practice in Stockton, CA. Practice services are available at 850 W MARCH LN STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

850 W March Ln Ste B

Stockton, CA 952076207

Telephone 2094794199

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Stockton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
122 Specialists

Practicing in Stockton, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 107806

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 19, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2022

Registered at 850 W MARCH LN STE B, STOCKTON, CA 952076207 (Tel: 2094794199)

📍
Updated Business Mailing Address September 19, 2022

Registered at 850 W MARCH LN STE B, STOCKTON, CA 952076207 (Tel: 2094794199)

👤
Provider Name / Credentials Updated September 19, 2022

Recorded as JACOB PHEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2022

Dentist (License #107806 in CA)

🟢
Initial NPI Registration & Enumeration September 19, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447973151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2022
Last Update: September 19, 2022
Sole Proprietor: No

Mailing Address

850 W March Ln Ste B

Stockton, CA 952076207

Phone: 2094794199

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.