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.
Source: public NPPES record, last updated April 07, 2026. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1407591092
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- April 28, 2022
- Last Updated
- April 07, 2026
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)
Browse Similar Providers
See more providers in the Dentist classification in Rochester, NY.
Open Dentist providers in Rochester, NY
Open the exact General Practice specialty directory in Rochester, NY
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
- April 07, 2026
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- April 07, 2026
- Taxonomies
- General Practice Dentistry (1223G0001X)