Dr. Jonathan Fan, DMD
Dentist, General Practice in Freehold, New Jersey
1033348776- Practice location
- 108 Village Center Dr Fl 2, Freehold, NJ 07728-2510
- Phone
- 732-780-2100
- Fax
- 732-879-0255
- Last updated
- December 27, 2018
Jonathan Fan is a Dentist, General Practice based in Freehold, NJ. 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. 22DI02429200 (NJ). The current practice location address for Jonathan Fan is 108 Village Center Dr Fl 2, Freehold, NJ 07728-2510 and can be reached out via phone at 732-780-2100 and via fax at 732-879-0255.
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
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 2, 2009
- Last Update Date
- December 27, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 108 Village Center Dr Fl 2
Freehold, NJ 07728-2510 - City
- Freehold
- State
- New Jersey
- Zip
- 07728-2510
- Phone Number
- 732-780-2100
- Fax Number
- 732-879-0255
Provider Business Mailing Address Details
- Address
- 108 Village Center Dr Fl 2
Freehold, NJ 07728-2510 - City
- Freehold
- State
- NJ
- Zip
- 07728-2510
- Phone Number
- 732-780-2100
- Fax Number
- 732-879-0255
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 22DI02429200
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Freehold, NJ
View all Dentist, General Practice providers in Freehold →- 3E Dental CareDentist, General Practice · NPI 1982069274
- Cohen DentalDentist, General Practice · NPI 1952510190
- David P. Fishberg, DMD, PADentist, General Practice · NPI 1811177363
- Dental Arts Of Freehold LLCDentist, General Practice · NPI 1265628333
- Dental Harmony LLCDentist, General Practice · NPI 1770769747
- Dr. Brandon S Elimanco, DMDDentist, General Practice · NPI 1326175415
Frequently Asked Questions
What is the NPI number of Dr. Jonathan Fan, DMD?
The NPI number of Dr. Jonathan Fan, DMD is 1033348776. It was assigned on July 2, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Jonathan Fan, DMD?
Dr. Jonathan Fan, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02429200.
Where does Dr. Jonathan Fan, DMD practice?
The practice location is 108 Village Center Dr Fl 2, Freehold, NJ 07728-2510. The office can be reached at 732-780-2100 (phone) or 732-879-0255 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033348776 directly on the NPPES registry website.