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

Dr. Kenny Pan, DDS

Individual provider General Practice Dentistry · NPI 1407591092

Dr. Kenny Pan, DDS is a General Practice Dentistry in Rochester, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1580 Elmwood Ave
Rochester, NY 14620-3620
Phone: (646) 267-9419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 063227 (NY)

Record details

NPI number1407591092
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 28, 2022
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

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