Organization · Type 2 NPI
Theresa C. Fan, Dds, PLLC
General Practice Dentistry · Rockville Centre, NY
NPI number
1205321304
Active
Practice location
176 N Village Ave Ste 1B
Rockville Centre, NY 11570-3800
Fax (516) 382-4789
Mailing address
120 Horton Hwy Apt D6
Mineola, NY 11501-3929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 051937-1 (NY) |
General Practice Dentistry: 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.
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- The Smilist Dental PLLCGeneral Practice Dentistry Rockville Centre, NY NPI 1760806624
About NPI 1205321304
Theresa C. Fan, Dds, PLLC's National Provider Identifier is 1205321304, issued on Jun 30, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rockville Centre, NY. The record was last updated on Jun 30, 2018.