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

Dr. Wen S Fan, DMD, MD

Individual provider Dentist · NPI 1164645750

Dr. Wen S Fan, DMD, MD is a Dentist in San Jose, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2039 Forest Ave Ste 306
San Jose, CA 95128-4830
Phone: (408) 298-7775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 52603 (CA)
Dentist Taxonomy 122300000X · Licence 52603 (CA)

Record details

NPI number1164645750
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MD
Sole proprietorNo
NPI enumeratedApril 11, 2007
Last updated in NPPESMay 3, 2009

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