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FARGO DENTAL CORPORATION
NPI 1609418987
Clinic/Center - Dental in Fontana, CA

Active since October 08, 2019
8275 SIERRA AVE STE 102, FONTANA, CA 92335(909) 823-7567(909) 823-8341 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2020, Jan 13, 2020, Oct 8, 2019 (3 updates tracked since 2019).

About Fargo Dental Corporation NPPES

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

FARGO DENTAL CORPORATION (NPI 1609418987), doing business as Bjb Dental Group A Professional Dental Corporation, is a healthcare organization registered as a dental in Fontana, California and active in the NPI registry since October 2019. The organization lists Bassam Wisam Fargo, Co-owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1609418987
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFARGO DENTAL CORPORATION
Location Address8275 SIERRA AVE STE 102Fontana, CA 92335-3557
Mailing Address8275 Sierra Ave Ste 102Fontana, CA 92335-3557 · (909) 823-7567 · Fax (909) 823-8341
Phone(909) 823-7567
Fax(909) 823-8341
Organization SubpartNo
Authorized OfficialBassam Wisam FargoCo-owner/dentist · (951) 329-7904
Enumeration DateOctober 8, 2019
Last NPPES UpdateMarch 11, 20203 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
✔ NPI 1609418987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
8275 SIERRA AVE STE 102, Fontana, CA 92335
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Other Names 1

Former Legal Business NameBjb Dental Group A Professional Dental Corporation

Other Providers at the Same Location NPPES 2

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

BASHAR W. FARGO, DDS, INC.
Clinic/Center (Dental)
8275 SIERRA AVE STE 102
FONTANA, CA 92335
San Bernardino County (951) 640-5013
DR. BASSAM W FARGO DDS
Dentist
8275 SIERRA AVE STE 102
FONTANA, CA 92335
San Bernardino County (951) 329-7904

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 Fargo Dental Corporation's NPI number?

The NPI number for Fargo Dental Corporation is 1609418987. It was assigned to this organization in the NPPES registry on October 8, 2019. The provider was formerly known as Bjb Dental Group A Professional Dental Corporation.

Where is Fargo Dental Corporation located?

Fargo Dental Corporation is located at 8275 Sierra Ave Ste 102, Fontana, CA 92335. The listed phone number is (909) 823-7567.

What is Fargo Dental Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Fargo Dental Corporation was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.