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DR. MADELINE FONG DDS
NPI 1194555144
Dentist in San Rafael, CA

Active since August 05, 2024
1523 5TH AVE, SAN RAFAEL, CA 94901(415) 453-6277 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Madeline Fong Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MADELINE FONG DDS (NPI 1194555144) is an individual dentist in San Rafael, California, licensed in California (110451) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1194555144
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MADELINE FONGCredential: DDS
Location Address1523 5TH AVESan Rafael, CA 94901-1806
Mailing Address1555 28th AveSan Francisco, CA 94122-3231 · (415) 806-2226
Phone(415) 453-6277
Sole ProprietorYes
Enumeration DateAugust 5, 2024
NPPES CertifiedAugust 5, 2024
✔ NPI 1194555144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 110451
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1523 5TH AVE, San Rafael, CA 94901
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PACIFIC DENTAL GROUP
Dentist (General Practice)
1523 5TH AVE
SAN RAFAEL, CA 94901
Marin County (415) 453-6277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madeline Fong's NPI number?

The NPI number for Madeline Fong is 1194555144. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is Madeline Fong located?

Madeline Fong practices at 1523 5th Ave, San Rafael, CA 94901. The listed phone number is (415) 453-6277.

What is Madeline Fong's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Madeline Fong was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.