IndividualActive
Alan Fan
NPI 1629292552 · General Practice Dentistry · Bryn Mawr, PA
Provider details
- NPI number
- 1629292552
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 036607 (PA)
Specialties & taxonomies
Dental Providers
Practice location
727 Old Lancaster Rd
Bryn Mawr, PA 19010-3414
Phone: (610) 525-6700
Fax: (610) 525-4058
Approximate (ZIP-level) locationGet directions
Mailing address
727 Old Lancaster Rd
Bryn Mawr, PA 19010-3414
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2016-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.