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DR. FAN MOU D.D.S
NPI 1497806582
Dentist - General Practice in New York, NY

Active since January 15, 2007
128 MOTT ST, SUITE 203, NEW YORK, NY 10013(212) 965-8113(212) 965-8114 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Fan Mou D.d.s NPPES

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

DR. FAN MOU D.D.S (NPI 1497806582) is an individual general practice provider in New York, New York, licensed in New York (052212) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1497806582
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. FAN MOUCredential: D.D.S
Location Address128 MOTT ST, SUITE 203New York, NY 10013-5540
Mailing Address560 Riverside Dr, Apt #5gNew York, NY 10027-3202 · (917) 526-2946
Phone(212) 965-8113
Fax(212) 965-8114
Sole ProprietorYes
Enumeration DateJanuary 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1497806582 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 · 052212
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.
128 MOTT ST, New York, NY 10013
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Other Identifiers 1

Medicaid02743382NY

Other Providers at the Same Location NPPES 20

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

DR. JESSICA LOO MARN DDS
Dentist (Pediatric Dentistry)
128 MOTT ST, SUITE 203
NEW YORK, NY 10013
New York County (212) 965-8113
DR.DENNIS MEDICAL P.C.
Obstetrics & Gynecology
128 MOTT ST, SUITE 401
NEW YORK, NY 10013
New York County (212) 219-2723
DR. YOLANDA TUN-CHIONG D.O.
Family Medicine
128 MOTT ST, SUITE 202
NEW YORK, NY 10013
New York County (646) 355-3711
MS. GLORIA MARGARITA DOMINGUEZ CNM
Midwife
128 MOTT ST, 4TH FLOOR
NEW YORK, NY 10013
New York County (212) 219-2723
DR. RICHARD MYINT DO
Internal Medicine
128 MOTT ST, SUITE 203
NEW YORK, NY 10013
New York County (212) 625-9080
NANCY ENG PH.D
Speech-Language Pathologist
128 MOTT ST, SUITE 301
NEW YORK, NY 10013
New York County (212) 274-1577
ANGIE LI M.D.
Obstetrics & Gynecology
128 MOTT ST, SUITE 501
NEW YORK, NY 10013
New York County (212) 587-8838
MIU K MA M.D.
Pediatrics
128 MOTT ST, #603
NEW YORK, NY 10013
New York County (212) 732-2638

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 Fan Mou's NPI number?

The NPI number for Fan Mou is 1497806582. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Fan Mou located?

Fan Mou practices at 128 Mott St Suite 203, New York, NY 10013. The listed phone number is (212) 965-8113.

What is Fan Mou's specialty?

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

When was this NPI record last updated?

The NPPES record for Fan Mou was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.