DR. LAWRENCE EUGENE FONG DDS
NPI 1366652117
Dentist - General Practice in Fairfax, CA

Q: What is Lawrence Fong's NPI number?

The NPI number for Lawrence Fong is 1366652117. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Q: What is Lawrence Fong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Lawrence 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.

Active since May 23, 2007

61A BROADWAY BLVD, FAIRFAX, CA 94930(415) 457-3377(415) 459-6218 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Lawrence Eugene Fong Dds NPPES

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

DR. LAWRENCE EUGENE FONG DDS (NPI 1366652117) is an individual general practice provider in Fairfax, California, licensed in California (22068) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1366652117

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. LAWRENCE EUGENE FONGCredential: DDS

Location Address61A BROADWAY BLVDFairfax, CA 94930-1653

Mailing Address61a Broadway BlvdFairfax, CA 94930-1653 · (415) 457-3377 · Fax (415) 459-6218

Phone(415) 457-3377

Fax(415) 459-6218

Sole ProprietorYes

Enumeration DateMay 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1366652117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 22068

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

61A BROADWAY BLVD, Fairfax, CA 94930

Open in Google Maps ↗

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 Lawrence Fong's NPI number?

The NPI number for Lawrence Fong is 1366652117. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Lawrence Fong located?

Lawrence Fong practices at 61A Broadway Blvd, Fairfax, CA 94930. The listed phone number is (415) 457-3377.

What is Lawrence Fong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lawrence 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.