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

Dr. Jack Zhongxu Fan, DMD

Individual provider Dentist · NPI 1730070863

Dr. Jack Zhongxu Fan, DMD is a Dentist in APO, Armed Forces Americas. Licensed in Utah. Registered with an NPI since 2025.

Licensed in
UT
In the registry since
2025
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Fort Eisenhower Dentac Bldg 38717
APO, AA 30905
Phone: (801) 647-5392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 14224225-9926 (UT)

Record details

NPI number1730070863
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 15, 2025
Last updated in NPPESAugust 14, 2025
Certification dateAugust 12, 2025

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