Wen S Fan in San Jose - Oral And Maxillofacial Surgery

Wen S Fan - NPI 1164645750

Wen S Fan is a Oral And Maxillofacial Surgery in San Jose, California. Wen S Fan practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Wen S Fan is 1164645750. The last update date is 2009-05-03.

Wen S Fan's current location address is 2039 Forest Ave Ste 306, San Jose, California. You can contact this provider via phone number 4082987775. The mailing address for Wen S Fan is 2039 Forest Ave Ste 306, San Jose, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Wen S Fan
Address 2039 Forest Ave Ste 306, San Jose, California
Phone Number 4082987775
Fax Number
Sole Proprietor N
Credentials DMD, MD

NPI Number Detail

NPI Number 1164645750
Provider Enumeration Date 2007-04-11
Last Updated Date 2009-05-03

Provider Mailing Address Detail

Address 2039 Forest Ave Ste 306
City San Jose
State California (CA)
Post Code 951284830
Phone Number 4082987775
Fax Number

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 52603
Definition:
The specialty of dentistry which includes 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.

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FAQs about Wen S Fan

What is the unique 10-digit identifier code assigned to Wen S Fan by the Centers for Medicare & Medicaid Services?

The Wen S Fan has been issued the NPI (National Provider Identifier) 1164645750 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Wen S Fan is geographically located?

The Wen S Fan is physically situated at the following location: 2039 Forest Ave Ste 306, San Jose, CA, 951284830.

What is Wen S Fan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Wen S Fan is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.

When was the Wen S Fan's 1164645750 issued?

The Wen S Fan's 1164645750 was issued on 2007-04-11.

When was the information regarding Wen S Fan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Wen S Fan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-05-03.

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