DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MADELINE FONG, DDS

Active Sole Proprietor

DR. MADELINE FONG, DDS is a Dentist healthcare provider located in SAN RAFAEL, California. NPI 1194555144 is currently active in the NPPES registry. Verify at CMS.

Dentist · SAN RAFAEL, CA

Registration Details

NPI Number
1194555144
Provider Type
Individual
Gender
Female
NPI Issued
Aug 5, 2024 (2.0171037717295 yrs)
Last Updated
Aug 5, 2024
License
110451 (CA)
Sole Proprietor
Yes

Practice Information

Address
1523 5TH AVE
SAN RAFAEL, CA, 949011806
Browse CA providers · Browse ZIP 94901
Phone
4154536277
Primary Specialty
Dentist
122300000X

Other Dentist Providers in SAN RAFAEL, CA

Name Credential NPI
DAVID JAMES PELFINI DDS 1427030527
JAMES C REDFERN DDS 1760403935
DR. THEODORE ALEXANDER MURRAY JR. DDS 1104934702
DR. RITA L LANPHIER D.D.S. 1992877559
DR. EZRA H KANTOR DDS 1003981622
DR. ROBERT WILLIAM HOFFMAN DDS 1356418826
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.