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DR. ANDRE M FANG DDS
NPI 1902419864
Dentist in Pearl Harbor, HI

Active since August 28, 2020
480 CENTRAL AVE, PEARL HARBOR, HI 96860(808) 474-4242 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 8, 2024, Aug 21, 2023, Aug 28, 2020 (3 updates tracked since 2020).

About Dr. Andre M Fang Dds NPPES

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

DR. ANDRE M FANG DDS (NPI 1902419864) is an individual dentist in Pearl Harbor, Hawaii, licensed in Utah (119120719921) and active in the NPI registry since August 2020. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902419864
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ANDRE M FANGCredential: DDS
Location Address480 CENTRAL AVEPearl Harbor, HI 96860-4908
Mailing Address480 Central AvePearl Harbor, HI 96860-4908 · (808) 474-4242
Phone(808) 474-4242
Sole ProprietorYes
Enumeration DateAugust 28, 2020
Last NPPES UpdateNovember 8, 20243 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
✔ NPI 1902419864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in UT · 119120719921
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.
480 CENTRAL AVE, Pearl Harbor, HI 96860
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Secondary Practice Locations 2

Location 16801 Roosevelt BlvdJacksonville, FL 32212-1192 · Phone (904) 546-4103
Location 2PSC 477 Box 2FPO, AP 96306-0001 · Phone (315) 264-4456

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. JOHN KNOREK PH.D.
Psychologist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-4242
MR. DENNIS T SEKINE MS, MPH, CCC-A
Audiologist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-0628
MR. KEVIN THOMAS COHN HM2/P.T. TEHCNICIAN
Technician
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 257-8708
CHRISTOPHER G PELLEJERA O.D.
Optometrist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-4248
MR. DEMETRIUS PRUITT APRN
Nurse Practitioner (Family)
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 477-2600
TAYLOR ANNE STUBBLEFIELD IDC
Military Health Care Provider (Independent Duty Corpsman)
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (951) 442-2444
BENJAMIN CLARKSON JAMES DPT
Physical Therapist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-4242
MR. JUDE COLEMAN PHARMACIST
Pharmacist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 473-1880

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 Andre Fang's NPI number?

The NPI number for Andre Fang is 1902419864. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Andre Fang located?

Andre Fang practices at 480 Central Ave, Pearl Harbor, HI 96860. The listed phone number is (808) 474-4242.

What is Andre Fang'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 Andre Fang was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.