Individual provider · Type 1 NPI
Jack Zhongxu Fan, DMD
Dentist · Joint Base Lewis Mcchord, WA
Practice location
9040A Jackson Ave
Joint Base Lewis Mcchord, WA 98431-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 14224225-9926 (UT) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
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About NPI 1730070863
Jack Zhongxu Fan, DMD's National Provider Identifier is 1730070863, issued on Jul 15, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Joint Base Lewis Mcchord, WA. The record was last updated on Oct 20, 2026.