Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN B FONG, DMD, MD
Active Sole ProprietorDR. BRIAN B FONG, DMD, MD is a Oral & Maxillofacial Surgery healthcare provider located in ELK GROVE, California. NPI 1609927425 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · ELK GROVE, CA
Registration Details
- NPI Number
- 1609927425
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2007 (19.533745586119 yrs)
- Last Updated
- Jul 8, 2007
- License
-
51473 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9390 BIG HORN BLVD.SUITE 100ELK GROVE, CA, 95758Browse CA providers · Browse ZIP 95758
- Phone
- 9166837777
- Fax
- 9166838009
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in ELK GROVE, CA
| Name | Credential | NPI |
|---|---|---|
| THOMAS TUAN PHAN | DDS | 1396864187 |
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.