Pan Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PAN DENTAL PLLC

Practice address

1580 Elmwood Ave Ste 10
Rochester, NY 14620-3620

Phone

(585) 271-1229

NPI assigned

Jan 27, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenny Pan, DDSNPI 1407591092

Title

Owner

Phone

(646) 267-9419

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenny Pan, DDS

  • General Practice Dentistry
  • Rochester, NY
  • NPI 1407591092
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1124831078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 ELMWOOD AVE STE 10",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203620",
            "telephone_number": "585-271-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 ELMWOOD AVE STE 10",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203620",
            "telephone_number": "585-271-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-267-9419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin Lee Palmo Jr.
• Denene M Palozzilo, OTR/L
• Daniella Nichole Palumbo, FNP-C
• Donna Palumbo, PHD
• Julia Anna Paluszkiewicz, MD
• Dorothy Pan, MD, PHD
• Kenny Pan, DDS
• Lisa Panagiotatos
• Sandimarie Panagiotatos, LMHC, CASAC-T, NCC
• Milarose Hernandez Panaligan, MD

• Dental Clinic/Center in Rochester, NY
• Providers in Rochester, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.