Kenneth Fan, D.D.S.
NPI 1588986566 · Orofacial Pain Dentistry · Jbsa Lackland Afb, TX
Kenneth Fan, D.D.S. is a Orofacial Pain Dentistry provider in Jbsa Lackland Afb, TX (NPI 1588986566).
Provider details
- NPI number
- 1588986566
- Entity type
- Individual
- Primary specialty
- Orofacial Pain DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DDS61109 (CA)
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-02-18
- Last updated
- 2023-08-14
- Certified
- 2023-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.