IndividualActive
Jack Fan, DMD
NPI 1730070863 · Dentist · Apo
Jack Fan, DMD is a Dentist provider in Apo (NPI 1730070863).
Provider details
- NPI number
- 1730070863
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 14224225-9926 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% 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
Fort Eisenhower Dentac
Bldg 38717
Apo, 30905
Phone: (801) 647-5392
Approximate (ZIP-level) locationGet directions
Mailing address
25501 Brainard Avenue
Fort Eisenhower, GA 30905
Registry dates
- Enumerated
- 2025-07-15
- Last updated
- 2025-08-14
- Certified
- 2025-08-12
Frequently asked questions
- What is Jack Fan's NPI number?
- Jack Fan's National Provider Identifier (NPI) is 1730070863, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Fan's specialty?
- Jack Fan is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jack Fan located?
- Jack Fan's practice location on file with NPPES is Fort Eisenhower Dentac, Apo, 30905.
- What is Jack Fan's phone number?
- The practice phone number listed in the NPPES registry for Jack Fan is (801) 647-5392.
- Is Jack Fan's NPI active?
- Yes — Jack Fan's NPI (1730070863) is active in the NPPES registry as of the last update on 2025-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.