Skip to content

Mary Pan, DDS

NPI 1528124583ActiveIndividual· Dentist, General Practice· Dublin, CA

Dentist, General Practice (DDS) in Dublin, California, licensed in CA, with an NPI issued in December 2006. Enrolled in Medicare as order and referring only - oral surgery.

Overview

NPI1528124583
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorYes
NPI issuedDec 27, 2006
Last updated in NPPESJul 8, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X46667CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Oral Surgery (CA)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist, General Practice providers in Dublin

All Dentist, General Practice providers in California →