NPI age
16 years
Enumerated 2010-02-18
● Active
Type 1 · Individual
Kenneth Fan, D.D.S.
Fan is 1 of 1 dentist providers in Jbsa Lackland Afb and 1 of 28 in Texas.
Primary specialty
Dentist
Licensed in
CA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-08-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 28 active dentist providers in Texas.
NPI age
16 years
↑ 12 yr above median (4 yr)
State licenses
1 state
21% of peers hold multiple states
Subspecialties
0
42% of peers hold subspecialties
NPI lifetime · 2010 → 2026
2010-02Enumerated in NPPES
2010
2026
Where they practice
Practice location
1110 Wilford Hall Loop
Jbsa Lackland Afb, TX 78236
Mailing address
1110 Wilford Hall Loop
Jbsa Lackland Afb, TX 78236
Specialties
-
Dentist PrimaryA dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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