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FAN FAMILY DENTAL
NPI 1619307105
Dentist - General Practice in Richardson, TX

Active since November 19, 2013
689 W RENNER RD, RICHARDSON, TX 75080(972) 234-5700 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fan Family Dental NPPES

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

FAN FAMILY DENTAL (NPI 1619307105) is a healthcare organization registered as a general practice in Richardson, Texas and active in the NPI registry since November 2013. The organization lists Benjamin Fan, Owner, as its authorized official.

NPPES Registry Identity

NPI1619307105
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAN OF DENTISTRY PLLC
Location Address689 W RENNER RDRichardson, TX 75080-1345
Mailing Address4517 Tuscany DrPlano, TX 75093-7043 · (214) 395-1217
Phone(972) 234-5700
Organization SubpartNo
Authorized OfficialBenjamin FanOwner · (214) 395-1217
Enumeration DateNovember 19, 2013
✔ NPI 1619307105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 25777
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.
689 W RENNER RD, Richardson, TX 75080
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Other Names 1

Doing Business AsFan Family Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Of Dentistry PLLC's NPI number?

The NPI number for Fan Of Dentistry PLLC is 1619307105. It was assigned to this organization in the NPPES registry on November 19, 2013. The provider is doing business as Fan Family Dental.

Where is Fan Of Dentistry PLLC located?

Fan Of Dentistry PLLC is located at 689 W Renner Rd, Richardson, TX 75080. The listed phone number is (972) 234-5700.

What is Fan Of Dentistry PLLC'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 Of Dentistry PLLC was last updated on November 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.