PACIFIC DENTAL GROUP
NPI 1669802435
Dentist - General Practice in San Rafael, CA

Q: What is Pacific Dental Group's NPI number?

The NPI number for Pacific Dental Group is 1669802435. It was assigned to this organization in the NPPES registry on November 15, 2013.

Q: What is Pacific Dental Group's specialty?

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

Active since November 15, 2013

1523 5TH AVE, SAN RAFAEL, CA 94901(415) 453-6277(415) 453-6412 Get Directions Write a Review

NPPES record last updated: November 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pacific Dental Group NPPES

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

PACIFIC DENTAL GROUP (NPI 1669802435) is a healthcare organization registered as a general practice in San Rafael, California and active in the NPI registry since November 2013. The organization lists Clark Fong, Owner, as its authorized official.

NPPES Registry Identity

NPI1669802435

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePACIFIC DENTAL GROUP

Location Address1523 5TH AVESan Rafael, CA 94901-1806

Mailing Address1523 5th AveSan Rafael, CA 94901-1806 · (415) 453-6277 · Fax (415) 453-6412

Phone(415) 453-6277

Fax(415) 453-6412

Organization SubpartNo

Authorized OfficialClark FongOwner · (415) 453-6277

Enumeration DateNovember 15, 2013

✔ NPI 1669802435 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 · 40351

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.

1523 5TH AVE, San Rafael, CA 94901

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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.

DR. MADELINE FONG DDS

Dentist

1523 5TH AVE
SAN RAFAEL, CA 94901

Marin County (415) 453-6277

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 Pacific Dental Group's NPI number?

The NPI number for Pacific Dental Group is 1669802435. It was assigned to this organization in the NPPES registry on November 15, 2013.

Where is Pacific Dental Group located?

Pacific Dental Group is located at 1523 5th Ave, San Rafael, CA 94901. The listed phone number is (415) 453-6277.

What is Pacific Dental Group'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 Pacific Dental Group was last updated on November 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.