person
Jingyuan Fan, DDS
Periodontist in Downers Grove, Illinois
NPI 1952718629

Jingyuan Fan is a Periodontist based in Downers Grove, IL and is specialized in Periodontics. Jingyuan Fan practices in Downers Grove, IL and has the professional credentials of DDS. The NPI Number for Jingyuan Fan is 1952718629 and holds a License No. 000054 (Illinois).

The current practice location address for Jingyuan Fan is 3450 Lacey Road, Downers Grove, IL and can be reached out via phone at 630-743-4967 and via fax at 630-743-4537. You can also correspond with Jingyuan Fan through the mailing address at 3450 LACEY ROAD, DOWNERS GROVE, IL - 60515-2668 (mailing address contact number: 630-743-4967).

Location: 3450 Lacey Road, Downers Grove, IL, 60515-2668
person
Provider Profile Details
NPI Number
1952718629
Provider Name
Jingyuan Fan
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3450 Lacey Road, Downers Grove, IL, 60515-2668
Phone Number
630-743-4967
Fax Number
630-743-4537
Provider Enumeration Date
07/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3450 Lacey Road
City
State
Zip
60515-2668
Phone Number
630-743-4967
Fax Number
630-743-4537
person
Provider Business Mailing Address Details
Address
3450 Lacey Road
City
State
Zip
60515-2668
Phone Number
630-743-4967
Fax Number
630-743-4537
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
000054 (New York)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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