Individual provider · Type 1 NPI
Brian B. Fong, DMD, MD
Oral and Maxillofacial Surgery (Dentist) · Elk Grove, CA
NPI number
1609927425
Active
Practice location
9390 Big Horn Blvd., Suite 100
Elk Grove, CA 95758
Fax (916) 683-8009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 51473 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Elk Grove
About NPI 1609927425
Brian B. Fong, DMD, MD's National Provider Identifier is 1609927425, issued on Jan 16, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Elk Grove, CA. The record was last updated on Jul 8, 2007.