Individual provider · Type 1 NPI

Kathleen Fan

Dentist · Flint, MI

NPI number 1750208047 Active

Practice location

3760 S Dort Hwy
Flint, MI 48507-2051

Call (810) 820-7766 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2901603180 (MI)

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 1750208047

Kathleen Fan's National Provider Identifier is 1750208047, issued on Jun 30, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Flint, MI. The record was last updated on Jun 30, 2026.