Jack Fan, DDS is a general practice dentist in Austin, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Jack Fan, DDS NPI is 1831455955. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4301 W WILLIAM CANNON DR
BLDG B, SUITE 240
AUSTIN, TX
ZIP 78749-473
Phone: (512) 892-7800
Fax: (512) 892-7805
The NPI 1831455955 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).
The enumeration date for this NPI number is 4/3/2012 and was last updated on 11/9/2016.