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Jack Fan, DDS

NPI 1831455955 · on the registry since 2012

Practice

Address: 4301 W William Cannon Dr
Bldg B, Suite 240
Austin, TX 78749
Phone: (512) 892-7800
Fax: (512) 892-7805
Organisation at this address: Cinco Ninos, Llc
Pak Family Eye Care
Duchess Dental Pllc
American Current Care Pa
Aeg Texas Professional Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: General Practice Dentistry
1223G0001X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-11-09

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 Texas