Organization · Type 2 NPI

Cheng DDS MD Inc and Wen S Fan DMD MD Inc A Partnership

Oral and Maxillofacial Surgery (Dentist) · San Jose, CA

NPI number 1174530026 Active

Practice location

2039 Forest Avenue, Suite #306
San Jose, CA 95128

Call (408) 298-7775 Map

Fax (408) 298-0936

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Pathology Dentistry 1223P0106XFNP2936 (CA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X23580 (CA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X45438 (CA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X52603 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1174530026

Cheng DDS MD Inc and Wen S Fan DMD MD Inc A Partnership's National Provider Identifier is 1174530026, issued on Aug 2, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Jose, CA. The record was last updated on Apr 4, 2011.