Theresa C. Fan, DDS, PLLC
NPI 1205321304 · General Practice Dentistry · Rockville Centre, NY
Theresa C. Fan, DDS, PLLC is a General Practice Dentistry organization in Rockville Centre, NY (NPI 1205321304).
Provider details
- NPI number
- 1205321304
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Theresa Fan, Owner/Member(516) 382-4789
- License
- 051937-1 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-06-30
- Last updated
- 2018-06-30
Frequently asked questions
- What is Theresa C. Fan, DDS, PLLC's NPI number?
- Theresa C. Fan, DDS, PLLC's National Provider Identifier (NPI) is 1205321304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Theresa C. Fan, DDS, PLLC?
- Theresa C. Fan, DDS, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Theresa C. Fan, DDS, PLLC located?
- Theresa C. Fan, DDS, PLLC's practice location on file with NPPES is 176 N Village Ave Ste 1b, Rockville Centre, NY 11570-3800.
- What is Theresa C. Fan, DDS, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Theresa C. Fan, DDS, PLLC is (516) 382-4789.
- Who is the authorized official for Theresa C. Fan, DDS, PLLC?
- The authorized official listed on Theresa C. Fan, DDS, PLLC's NPPES record is Theresa Fan, Owner/Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Theresa C. Fan, DDS, PLLC's NPI active?
- Yes — Theresa C. Fan, DDS, PLLC's NPI (1205321304) is active in the NPPES registry as of the last update on 2018-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.