Jack Fan, DDS
Jack Fan, DDS is a General Practice Dentistry in Austin, Texas. Licensed in Texas. Registered with an NPI since 2012.
- Licensed in
- TX
- In the registry since
- 2012
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.
Practice location Address checks out
4301 W William Cannon Dr Bldg B Ste 240Austin, TX 78749-1473
Phone: (512) 892-7800
Fax: (512) 892-7805
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 28806 (TX) |
|---|
Record details
| NPI number | 1831455955 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS |
| Sole proprietor | No |
| NPI enumerated | April 3, 2012 |
| Last updated in NPPES | November 9, 2016 |
| Mailing address | 4301 W William Cannon Dr, Bldg B, Suite 240, Austin, TX 78749-1473 |
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