Individual provider · Type 1 NPI

Grant Russell Fong, DDS

General Practice Dentistry · Sacramento, CA

NPI number 1174127138 Active

Practice location

3000 L St Ste 215
Sacramento, CA 95816-5248

Call (916) 457-7080 Map

Mailing address

820 Cobble Cove Ln
Sacramento, CA 95831-4309

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDDS105756 (CA)

General Practice Dentistry: 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.

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About NPI 1174127138

Grant Russell Fong, DDS's National Provider Identifier is 1174127138, issued on Nov 30, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Sacramento, CA. The record was last updated on Nov 30, 2020.