Individual provider · Type 1 NPI

Carole S. Burgess-Fongsam, DDS

General Practice Dentistry · Sandy Spring, MD

NPI number 1134447717 Active

About NPI 1134447717

Carole S. Burgess-Fongsam, DDS's National Provider Identifier is 1134447717, issued on May 6, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Sandy Spring, MD. The record was last updated on Mar 14, 2016.