National Provider Identifier
Kenny Pan, DDS
Kenny Pan, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (646) 267-9419.
Profile Overview
- NPI
- 1407591092
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- April 28, 2022
- Last Updated
- January 20, 2025
Practice Location
- 1580 Elmwood Ave
- Rochester, NY 14620-3620
Phone: (646) 267-9419
Mailing Address
- 1580 Elmwood Ave Ste 10
- Rochester, NY 14620-3620
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1407591092
- Entity Type
- Individual
- Last Name
- Pan
- First Name
- Kenny
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 1580 Elmwood Ave Ste 10
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-3620
- Mailing Country
- US
- Mailing Phone
- (646) 267-9419
- Practice Street Address
- 1580 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3620
- Practice Country
- US
- Practice Phone
- (646) 267-9419
- Enumeration Date
- April 28, 2022
- Last Updated
- January 20, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- January 20, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)