WEN TA FAN DDS PC
NPI 1972521888
Clinic/Center - Dental in Flushing, NY

Active since July 18, 2006
4231 COLDEN ST STE 204, FLUSHING, NY 11355(718) 539-9130(718) 539-9180 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wen Ta Fan Dds Pc NPPES

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

WEN TA FAN DDS PC (NPI 1972521888) is a healthcare organization registered as a dental in Flushing, New York and active in the NPI registry since July 2006. The organization lists Wen Ta Fan, President, as its authorized official.

NPPES Registry Identity

NPI1972521888
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWEN TA FAN DDS PC
Location Address4231 COLDEN ST STE 204Flushing, NY 11355-3981
Mailing Address4231 Colden St Ste 204Flushing, NY 11355-3981 · (718) 539-9130 · Fax (718) 539-9180
Fax(718) 539-9180
Organization SubpartNo
Authorized OfficialWen Ta FanPresident · (715) 539-9130
Enumeration DateJuly 18, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1972521888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in NY · 047296
4231 COLDEN ST STE 204, Flushing, NY 11355

Other Identifiers 1

Medicaid02756412NY

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
4231 COLDEN ST STE 204
FLUSHING, NY 11355

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 Wen Ta Fan Dds PC's NPI number?

The NPI number for Wen Ta Fan Dds PC is 1972521888. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Wen Ta Fan Dds PC located?

Wen Ta Fan Dds PC is located at 4231 Colden St Ste 204, Flushing, NY 11355. The listed phone number is (718) 539-9130.

What is Wen Ta Fan Dds PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Wen Ta Fan Dds PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.