Individual provider · Type 1 NPI

Amy Fong

Dentist · Tecumseh, MI

NPI number 1376477257 Active

Practice location

3085 W Russell Rd
Tecumseh, MI 49286-1735

Mailing address

6809 W Poplar St
Boise, ID 83704-7428

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2901602978 (MI)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1376477257

Amy Fong's National Provider Identifier is 1376477257, issued on Jun 9, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Tecumseh, MI. The record was last updated on Jul 7, 2026.