Individual provider · Type 1 NPI

Jack Fan, DDS

General Practice Dentistry · Austin, TX

NPI number 1831455955 Active

Practice location

4301 W William Cannon Dr, Bldg B, Suite 240
Austin, TX 78749-1473

Call (512) 892-7800 Map

Fax (512) 892-7805

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X28806 (TX)

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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About NPI 1831455955

Jack Fan, DDS's National Provider Identifier is 1831455955, issued on Apr 3, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Austin, TX. The record was last updated on Nov 9, 2016.