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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

KATHLEEN FAN
NPI 1750208047
Dentist in Flint, MI

Active since June 30, 2026
3760 S DORT HWY, FLINT, MI 48507(810) 820-7766 Get Directions Write a Review

NPPES record added: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen Fan NPPES

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

KATHLEEN FAN (NPI 1750208047) is an individual dentist in Flint, Michigan, licensed in Michigan (2901603180) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1750208047
Entity TypeIndividual
Primary Taxonomy122300000X
Provider Legal NameKATHLEEN FAN
Location Address3760 S DORT HWYFlint, MI 48507-2051
Mailing Address3760 S Dort HwyFlint, MI 48507-2051
Phone(810) 820-7766
Sole ProprietorNo
Enumeration DateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1750208047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901603180
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3760 S DORT HWY, Flint, MI 48507
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Other Providers at the Same Location NPPES 9

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

CYDNEY AYAD DMD
Dentist (General Practice)
3760 S DORT HWY
FLINT, MI 48507
Genesee County (810) 820-7766
DR. BRENDA KIZY DDS
Dentist
3760 S DORT HWY
FLINT, MI 48507
Genesee County (810) 820-7766
DELUXE DENTAL ASSOCIATES PLLC
Dentist (General Practice)
3760 S DORT HWY
FLINT, MI 48507
Genesee County (248) 259-1015
NOUR ABDULJALIL DDS
Dentist (General Practice)
3760 S DORT HWY
FLINT, MI 48507
Genesee County (810) 820-7766
MARIANNE GO
Dentist (General Practice)
3760 S DORT HWY
FLINT, MI 48507
Genesee County (810) 820-7766
TONYA ELKATIB DDS
Dentist (General Practice)
3760 S DORT HWY
FLINT, MI 48507
Genesee County (810) 820-7766
DR. AHMED ALAA KAAKARLI DDS
Dentist (General Practice)
3760 S DORT HWY
FLINT, MI 48507
Genesee County (810) 820-7766
DR. RYAN SHAKER KARJO DDS
Dentist
3760 S DORT HWY
FLINT, MI 48507
Genesee County (810) 820-7766

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 Kathleen Fan's NPI number?

The NPI number for Kathleen Fan is 1750208047. It was assigned to this individual provider in the NPPES registry on June 30, 2026.

Where is Kathleen Fan located?

Kathleen Fan practices at 3760 S Dort Hwy, Flint, MI 48507. The listed phone number is (810) 820-7766.

What is Kathleen Fan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Kathleen Fan was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.