Individual provider · Type 1 NPI

Teresa L. Fong, DDS

Pediatric Dentistry · St. Paul, MN

NPI number 1215904008 Active

Practice location

1021 Bandana Blvd E, Suite 121
St. Paul, MN 55108-5113

Call (651) 224-4969 Map

Fax (651) 223-8047

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XA10279 (MN)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1215904008

Teresa L. Fong, DDS's National Provider Identifier is 1215904008, issued on Mar 1, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in St. Paul, MN. The record was last updated on Oct 5, 2016.