Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265492995 Individual Practitioner Male Practitioner

Jack Kahan

Dentist - General Practice • Fulton, NY

Professional Overview & Biography Verified Profile Summary

Jack Kahan is a registered healthcare professional specializing in Dentist - General Practice in Fulton, NY. Practice services are available at 184 S 1ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

184 S 1st St

Fulton, NY 130691720

Telephone 3155932506
Fax 3155931896
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fulton, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Fulton, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 031457

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00492062 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Jasleen Benepal , DDS

Dentist - General Practice

NPI 1174807986

Doctor of Dental Surgery

NPI 1245519016

Doctor of Dental Surgery

NPI 1255626859

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 184 S 1ST ST, FULTON, NY 130691720 (Tel: 3155932506)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6070 SINGLETREE LN, JAMESVILLE, NY 130789588 (Tel: 3154922758)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK KAHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #031457 in NY)

🟢
Initial NPI Registration & Enumeration March 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265492995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

6070 Singletree Ln

Jamesville, NY 130789588

Phone: 3154922758

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.