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

Theresa C. Fan, DDS, PLLC

Organization General Practice Dentistry · NPI 1205321304

Theresa C. Fan, DDS, PLLC is a General Practice Dentistry in Rockville Centre, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

176 N Village Ave Ste 1B
Rockville Centre, NY 11570-3800
Phone: (516) 382-4789
Fax: (516) 382-4789
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 051937-1 (NY)

Record details

NPI number1205321304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theresa Fan — Owner/Member · (516) 382-4789
NPI enumeratedJune 30, 2018
Last updated in NPPESJune 30, 2018
Mailing address120 Horton Hwy Apt D6, Mineola, NY 11501-3929

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