Theresa C. Fan, DDS, PLLC
NPI 1205321304ActiveOrganization· Dentist, General Practice· Rockville Centre, NY
Dentist, General Practice in Rockville Centre, New York, registered in NPPES in June 2018. The authorized official on file is Theresa C. Fan, DDS, Owner/Member.
Overview
| NPI | 1205321304 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 30, 2018 |
| Last updated in NPPES | Jun 30, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 051937-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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