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Dr. Jonathan Fan, DMD
General Practice Dentistry in Freehold, New Jersey
NPI 1033348776

Jonathan Fan is a General Practice Dentistry based in Freehold, NJ and is specialized in General Practice. Jonathan Fan practices in Freehold, NJ and has the professional credentials of DMD. The NPI Number for Jonathan Fan is 1033348776 and holds a License No. (New Jersey).

The current practice location address for Jonathan Fan is 108 Village Center Dr Fl 2, Freehold, NJ and can be reached out via phone at 732-780-2100 and via fax at 732-879-0255.

Location: 108 Village Center Dr Fl 2, Freehold, NJ, 07728-2510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033348776
Provider Name
Jonathan Fan
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
108 Village Center Dr Fl 2, Freehold, NJ, 07728-2510
Phone Number
732-780-2100
Fax Number
732-879-0255
Provider Enumeration Date
07/02/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
108 Village Center Dr Fl 2
City
Freehold
State
New Jersey
Zip
07728-2510
Phone Number
732-780-2100
Fax Number
732-879-0255
person
Provider Business Mailing Address Details
Address
108 Village Center Dr Fl 2
City
Freehold
State
New Jersey
Zip
07728-2510
Phone Number
732-780-2100
Fax Number
732-879-0255
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
22DI02429200 (New Jersey)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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