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WEN S. FAN DMD MD AND CHENG DDS MD NPI 1699044065


NPI Information

NPI: 1699044065
Provider Name: WEN S. FAN DMD, MD AND CHENG DDS, MD

Doing Business As: CUPERTINO ORAL SURGERY & DENTAL IMPLANTS

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
20530 TOWN CENTER LN
CUPERTINO, CA
ZIP 95014
Phone: (408) 517-0985
Get Directions

WEN S. FAN DMD, MD AND CHENG DDS, MD is an oral and maxillofacial surgery dentist in Cupertino, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. WEN S. FAN DMD, MD AND CHENG DDS, MD NPI is 1699044065. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cupertino Oral Surgery & Dental Implants.

The provider's business location address is:

20530 TOWN CENTER LN
CUPERTINO, CA
ZIP 95014-200
Phone: (408) 517-0985
Fax: (408) 517-8861

The provider's authorized official is Wen Fan .
The authorized official title is President and has the following contact phone number (408) 517-0985.

The enumeration date for this NPI number is 12/14/2011 and was last updated on 12/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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