Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Fan of Dentistry PLLC

Organization General Practice Dentistry · NPI 1619307105

Fan of Dentistry PLLC provides General Practice Dentistry in Richardson, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

689 W Renner Rd
Richardson, TX 75080-1345 Not confirmed with CMS for 12 years — call before visiting
Phone: (972) 234-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 25777 (TX)

Record details

NPI number1619307105
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Fan — Owner · (214) 395-1217
Other names Fan Family Dental
NPI enumeratedNovember 19, 2013
Last updated in NPPESNovember 19, 2013
Mailing address4517 Tuscany Dr, Plano, TX 75093-7043

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