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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033348776

Dr. Jonathan Fan, DMD is a Student in an Organized Health Care Education/Training Program in Freehold, New Jersey. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2009
Specialties on file
2
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 checks out

108 Village Center Dr Fl 2
Freehold, NJ 07728-2510
Phone: (732) 780-2100
Fax: (732) 879-0255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 398 Vassar Dr, Freehold, NJ 07728-5360 — (908) 415-8782

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22DI02429200 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033348776
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 2, 2009
Last updated in NPPESDecember 27, 2018
Mailing address108 Village Center Dr Fl 2, Freehold, NJ 07728-2510

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