Kenneth Fan, DDS
Kenneth Fan, DDS is an Orofacial Pain Dentistry in Jbsa Lackland AFB, Texas. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2010
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
1110 Wilford Hall LoopJbsa Lackland AFB, TX 78236
Phone: (210) 539-7866
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
| Orofacial Pain Dentistry (primary) | Taxonomy 1223X2210X · Licence DDS61109 (CA) |
|---|
Record details
| NPI number | 1588986566 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS |
| Sole proprietor | Yes |
| NPI enumerated | February 18, 2010 |
| Last updated in NPPES | August 14, 2023 |
| Certification date | August 11, 2023 |
| Mailing address | 1110 Wilford Hall Loop, Jbsa Lackland Afb, TX 78236 |