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MICHELLE M FONG
NPI 1376114702
Dentist - General Practice in Redwood City, CA

Active since July 07, 2021
155 BIRCH ST STE 5, REDWOOD CITY, CA 94062(650) 366-0552 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 2, 2021, Jul 7, 2021 (2 updates tracked since 2021).

About Michelle M Fong NPPES

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

MICHELLE M FONG (NPI 1376114702) is an individual general practice provider in Redwood City, California, licensed in California (106467) and active in the NPI registry since July 2021. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376114702
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMICHELLE M FONG
Location Address155 BIRCH ST STE 5Redwood City, CA 94062-1340
Mailing Address1555 28th AveSan Francisco, CA 94122-3231 · (415) 683-8629
Phone(650) 366-0552
Sole ProprietorNo
Enumeration DateJuly 7, 2021
Last NPPES UpdateAugust 2, 20212 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1376114702 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 · 106467
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.

155 BIRCH ST STE 5, Redwood City, CA 94062
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Secondary Practice Locations 2

Location 11523 5th AveSan Rafael, CA 94901-1806 · Phone (415) 453-6277
Location 2401 N San Mateo Dr Unit ASan Mateo, CA 94401-2417 · Phone (650) 344-7626

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 Michelle Fong's NPI number?

The NPI number for Michelle Fong is 1376114702. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Where is Michelle Fong located?

Michelle Fong practices at 155 Birch St Ste 5, Redwood City, CA 94062. The listed phone number is (650) 366-0552.

What is Michelle 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 Michelle Fong was last updated on August 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.