Individual
DR. JIAPING PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(812) 369-1129
Mailing address
7288 PRESTBURY CT, ROCKFORD, IL 61108-1403
(812) 369-1129
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS045889
PA
Other
Enumeration date
07/31/2026
Last updated
08/03/2026
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