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PETER FONG, DDS, INC.
NPI 1578777918
Dentist - General Practice in San Rafael, CA

Active since May 09, 2007
1050 NORTHGATE DR STE 139, SAN RAFAEL, CA 94903(415) 472-2770 Get Directions Write a Review

NPPES record last updated: August 17, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peter Fong, Dds, Inc. NPPES

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

PETER FONG, DDS, INC. (NPI 1578777918) is a healthcare organization registered as a general practice in San Rafael, California and active in the NPI registry since May 2007. The organization lists Peter Fong, President, as its authorized official.

NPPES Registry Identity

NPI1578777918
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePETER FONG, DDS, INC.
Location Address1050 NORTHGATE DR STE 139San Rafael, CA 94903-2559
Mailing Address1050 Northgate Dr Ste 139San Rafael, CA 94903-2559 · (415) 472-2770
Phone(415) 472-2770
Organization SubpartNo
Authorized OfficialPeter FongPresident · (415) 472-2770
Enumeration DateMay 9, 2007
Last NPPES UpdateAugust 17, 2009
✔ NPI 1578777918 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 · 40817
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.

1050 NORTHGATE DR STE 139, San Rafael, CA 94903
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

YEVGENIYA VALCHUK D.D.S.
Dentist (General Practice)
1050 NORTHGATE DR STE 139
SAN RAFAEL, CA 94903
Marin County (415) 472-2770

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 Peter Fong, Dds, Inc.'s NPI number?

The NPI number for Peter Fong, Dds, Inc. is 1578777918. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Peter Fong, Dds, Inc. located?

Peter Fong, Dds, Inc. is located at 1050 Northgate Dr Ste 139, San Rafael, CA 94903. The listed phone number is (415) 472-2770.

What is Peter Fong, Dds, Inc.'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 Peter Fong, Dds, Inc. was last updated on August 17, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.