SearchMichigan122300000X

Kathleen Fan

NPI 1750208047 · on the registry since 2026

Practice

Address
3760 S Dort Hwy
Flint, MI 48507
Phone
(810) 820-7766
Organisation at this address
Deluxe Dental Associates Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-30

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 Michigan