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DR. KENNY PAN DDS
NPI 1407591092
Dentist - General Practice in Rochester, NY

Active since April 28, 2022
1580 ELMWOOD AVE, ROCHESTER, NY 14620(646) 267-9419 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2026, Apr 28, 2022 (2 updates tracked since 2022).

About Dr. Kenny Pan Dds NPPES

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

DR. KENNY PAN DDS (NPI 1407591092) is an individual general practice provider in Rochester, New York, licensed in New York (063227) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1407591092
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KENNY PANCredential: DDS
Location Address1580 ELMWOOD AVERochester, NY 14620-3620
Mailing Address1580 Elmwood Ave Ste 10Rochester, NY 14620-3620 · (646) 267-9419
Phone(646) 267-9419
Sole ProprietorYes
Enumeration DateApril 28, 2022
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1407591092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 063227
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1580 ELMWOOD AVE, Rochester, NY 14620
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT D BRYANT
Dentist
1580 ELMWOOD AVE
ROCHESTER, NY 14620
Monroe County (585) 244-5810
DR. WILLIAM LANE HURTT D.M.D.
Dentist (General Practice)
1580 ELMWOOD AVE
ROCHESTER, NY 14620
Monroe County (585) 271-1229
LIFETIME WELLNESS CHIROPRACTIC OF WESTERN NEW YORK
Chiropractor (Nutrition)
1580 ELMWOOD AVE, SUITE 1A
ROCHESTER, NY 14620
Monroe County (585) 471-5919
EYE PHYSICIANS AND SURGEONS OF WESTERN NEW YORK PLLC
Eyewear Supplier
1580 ELMWOOD AVE
ROCHESTER, NY 14620
Monroe County (585) 872-1300
EYE PHYSICIANS AND SURGEONS
Clinic/Center (Ophthalmologic Surgery)
1580 ELMWOOD AVE
ROCHESTER, NY 14620
Monroe County (585) 872-1300
DR. RACHEL E MEEGAN-IACCHETTA D.C.
Chiropractor
1580 ELMWOOD AVE, SUITE 1A
ROCHESTER, NY 14620
Monroe County (585) 471-5919
HEALING ARTS FAMILY MEDICINE, PLLC
Family Medicine
1580 ELMWOOD AVE
ROCHESTER, NY 14620
Monroe County (585) 241-9510
TRADITIONS IN CARING
Home Health
1580 ELMWOOD AVE
ROCHESTER, NY 14620
Monroe County (585) 241-9580

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 Kenny Pan's NPI number?

The NPI number for Kenny Pan is 1407591092. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is Kenny Pan located?

Kenny Pan practices at 1580 Elmwood Ave, Rochester, NY 14620. The listed phone number is (646) 267-9419.

What is Kenny Pan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kenny Pan accept?

Health plans from Anthem Blue Cross and Blue Shield list Kenny Pan 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 Kenny Pan was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.