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DR. WEN S FAN DMD, MD
NPI 1164645750
Dentist - Oral and Maxillofacial Surgery in San Jose, CA

Active since April 11, 2007
2039 FOREST AVE STE 306, SAN JOSE, CA 95128(408) 298-7775 Get Directions Write a Review

NPPES record last updated: May 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Wen S Fan Dmd, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WEN S FAN DMD, MD (NPI 1164645750) is an individual oral and maxillofacial surgery provider in San Jose, California, licensed in California (52603) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1164645750
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. WEN S FANCredential: DMD, MD
Location Address2039 FOREST AVE STE 306San Jose, CA 95128-4830
Mailing Address1235 Brockton Ave, #206Los Angeles, CA 90025-1344 · (310) 770-5498
Phone(408) 298-7775
Sole ProprietorNo
Enumeration DateApril 11, 2007
Last NPPES UpdateMay 3, 2009
✔ NPI 1164645750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 52603
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 52603 (CA)
2039 FOREST AVE STE 306, San Jose, CA 95128
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wen Fan's NPI number?

The NPI number for Wen Fan is 1164645750. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Wen Fan located?

Wen Fan practices at 2039 Forest Ave Ste 306, San Jose, CA 95128. The listed phone number is (408) 298-7775.

What is Wen Fan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Wen Fan accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Wen Fan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wen Fan was last updated on May 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.