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DR. NICKY ANDREW FONG D.D.S.
NPI 1336260801
Dentist in Cordova, TN

Active since April 03, 2007PECOS Enrolled
831 TIMBER CREEK DR, SUITE 1, CORDOVA, TN 38018(901) 754-8080 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicky Andrew Fong D.d.s. NPPES

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

DR. NICKY ANDREW FONG D.D.S. (NPI 1336260801) is an individual dentist in Cordova, Tennessee, licensed in Tennessee (DS0000008438) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336260801
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. NICKY ANDREW FONGCredential: D.D.S.
Location Address831 TIMBER CREEK DR, SUITE 1Cordova, TN 38018-3108
Mailing Address1735 Hunters Bluff Dr, Apt. 202Memphis, TN 38120-4484 · (901) 605-7380
Phone(901) 754-8080
Sole ProprietorNo
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1336260801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TN · DS0000008438
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.
831 TIMBER CREEK DR, Cordova, TN 38018
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Other Names 1

Professional Name (2)Dr. Nick Andrew Fong D.d.s.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicky Andrew Fong D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DAVID W. SMITH, DDS PLLC
Dentist (General Practice)
831 TIMBER CREEK DR, STE. #1
CORDOVA, TN 38018
Shelby County (901) 754-8080

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 Nicky Fong's NPI number?

The NPI number for Nicky Fong is 1336260801. It was assigned to this individual provider in the NPPES registry on April 3, 2007. The provider is also known as Dr. Nick Andrew Fong D.D.S..

Where is Nicky Fong located?

Nicky Fong practices at 831 Timber Creek Dr Suite 1, Cordova, TN 38018. The listed phone number is (901) 754-8080.

What is Nicky Fong's specialty?

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

Is Nicky Fong enrolled in Medicare?

Yes. Nicky Fong is registered in the Medicare PECOS enrollment system.

What insurance does Nicky Fong accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 16 other insurers list Nicky Fong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicky Fong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.