Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK FAN, DDS
ActiveJACK FAN, DDS is a General Dentistry healthcare provider located in AUSTIN, Texas. NPI 1831455955 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · AUSTIN, TX
Registration Details
- NPI Number
- 1831455955
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2012 (14.357602606331 yrs)
- Last Updated
- Nov 9, 2016
- License
-
28806 (TX)
Practice Information
- Address
-
4301 W WILLIAM CANNON DRBLDG B, SUITE 240AUSTIN, TX, 787491473Browse TX providers · Browse ZIP 78749
- Phone
- 5128927800
- Fax
- 5128927805
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in AUSTIN, TX
| Name | Credential | NPI |
|---|---|---|
| DEANO A SAKOS | D.D.S. | 1629072418 |
| DR. RICHARD MARK PEPPARD | DDS | 1235133950 |
| DR. ROBERT B MEISER | D.D.S. | 1265438048 |
| DR. WILLIAM PAUL BURKHART | DDS | 1497752075 |
| DR. RONALD B CASS | DDS, FAGD | 1164421996 |
| DR. CARLA L COSTON | D.D.S. | 1124027214 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.