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Search › Florida › 122300000X

Xiaojing Fan

NPI 1396531281 · on the registry since 2025

Practice

Address
1765 Dunlawton Ave Ste 103
Port Orange, FL 32127
Phone
(386) 259-3905
Organisation at this address
Port Orange Modern Dentistry, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
390200000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida