IndividualActive
Andre Fang, DDS
NPI 1902419864 · Dentist · Pearl Harbor, HI
Provider details
- NPI number
- 1902419864
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 119120719921 (UT)
Specialties & taxonomies
Dental Providers
Practice location
480 Central Ave
Pearl Harbor, HI 96860-4908
Phone: (808) 474-4242
Approximate (ZIP-level) locationGet directions
Mailing address
480 Central Ave
Pearl Harbor, HI 96860-4908
Additional practice locations (2)
- Psc 477 Box 2Fpo, AP 96306-0001Phone: (315) 264-4456
- 6801 Roosevelt BlvdJacksonville, FL 32212-1192Phone: (904) 546-4103
Registry dates
- Enumerated
- 2020-08-28
- Last updated
- 2024-11-08
- Certified
- 2024-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.