Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rong Pan, DDS, Inc

Organization Dental Clinic/Center · NPI 1609535764

Rong Pan, DDS, Inc is a Dental Clinic/Center in San Jose, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5150 Graves Ave Ste 11D
San Jose, CA 95129-5014
Phone: (408) 255-0033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1609535764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yi Wang — President · (408) 255-0033
Other names Rong Pan, D.D.S., Inc.
NPI enumeratedDecember 15, 2021
Last updated in NPPESDecember 15, 2021
Certification dateDecember 13, 2021
Mailing address18180 Sage Ct, Saratoga, CA 95070-4500

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