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

Xiaojing Fan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396531281

Xiaojing Fan is a Student in an Organized Health Care Education/Training Program in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2025.

Licensed in
FL
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1765 Dunlawton Ave Ste 103
Port Orange, FL 32127-4717
Phone: (386) 259-3905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN30796 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396531281
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2025
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing address1021 Wicker Way, Daytona Beach, FL 32117-4590

Other providers in Port Orange