Stephen T. Fan is a Dentist in Fremont, California. Stephen T. Fan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Stephen T. Fan is 1700095403. The last update date is 2007-07-08.
Stephen T. Fan's current location address is 3618 Thornton Ave, Fremont, California. You can contact this provider via phone number 5107972320 and fax number 5107972271. The mailing address for Stephen T. Fan is 3618 Thornton Ave, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen T. Fan |
|---|---|
| Address | 3618 Thornton Ave, Fremont, California |
| Phone Number | 5107972320 |
| Fax Number | 5107972271 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1700095403 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3618 Thornton Ave |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 945367400 |
| Phone Number | 5107972320 |
| Fax Number | 5107972271 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 32955 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Stephen T. Fan by the Centers for Medicare & Medicaid Services?
The Stephen T. Fan has been assigned the NPI (National Provider Identifier) 1700095403. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Stephen T. Fan?
The Stephen T. Fan is physically situated at 3618 Thornton Ave, in the city of Fremont, state of CA, with the postal code 945367400.
What is Stephen T. Fan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stephen T. Fan is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Stephen T. Fan receive the assignment of its 1700095403 from the Centers for Medicare & Medicaid Services?
The Stephen T. Fan was issued its 1700095403 by the Centers for Medicare & Medicaid Services on 2007-05-21.
When was the information pertaining to Stephen T. Fan most recently updated or revised?
The details related to Stephen T. Fan, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.