Individual provider · Type 1 NPI

Courtney Fong, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Brooklyn, NY

NPI number 1518152230 Active

Practice location

79 Avenue U
Brooklyn, NY 11223-3554

Call (718) 373-6707 Map

Fax (718) 373-6799

Mailing address

1 River Ct Apt 1401
Jersey City, NJ 07310-2006

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	053511-1 (NY)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1518152230

Courtney Fong, DMD's National Provider Identifier is 1518152230, issued on Sep 6, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 6, 2007.