DR. LAWRENCE EUGENE FONG (NPI# 1366652117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366652117 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE EUGENE FONG |
| Credential | DDS |
| Practice Address |
61a Broadway Blvd Fairfax CA 94930-1653 |
| Practice Telephone | 4154573377 |
| Practice Fax Number | 4154596218 |
| Mailing Telephone | 4154573377 |
| Mailing Fax Number | 4154596218 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22068 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851505838 | Lawrence Fong | Chiropractor | 20265 Ventura Blvd Ste C, Woodland Hills, CA 91364-2550 | 2007-05-09 |
| 1316901630 | Lawrence Fong | Internal Medicine | 1600 Divisadero Street, San Francisco, CA 94143-0001 | 2006-04-13 |
| Street Address |
61A BROADWAY BLVD |
| City | FAIRFAX |
| State | CA |
| Zip Code | 94930-1653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649606187 | Jason Neal Linder | Marriage & Family Therapist | 189 Canyon Road, Fairfax, CA 94930 | 2013-09-16 |
| 1760661920 | Joseph Phillip Smith | Chiropractor | 85 Bolinas Rd Ste 2, Fairfax, CA 94930 | 2007-10-24 |
| 1033735436 | Amie Lois Rudolph | Social Worker | Ucsf Benioff Children's Hospital, 1975 4th Street, San Francisco, CA 94930 | 2020-06-22 |
| 1184172587 | Marian Devereaux | Dietitian, Registered | 251 Oak Manor Dr, Fairfax, CA 94930-1014 | 2016-09-14 |
| 1629312863 | Silke Greiner | Massage Therapist | 73 Gregory Dr, Fairfax, CA 94930-1025 | 2012-11-10 |
| 1659418473 | Caremeridian, LLC | Skilled Nursing Facility | 2390 Sir Francis Drake Blvd, Fairfax, CA 94930-1127 | 2007-01-31 |
| 1861676561 | Paul Alan Steinman | Pediatrics | 169 Willow Ave, Fairfax, CA 94930-1219 | 2007-12-18 |
| 1043549595 | Gail Danchig | Marriage & Family Therapist | 110 Willow Ave, Fairfax, CA 94930-1220 | 2009-12-11 |
| 1598975773 | Anya Maruscha | Social Worker | 53 Taylor Dr, Fairfax, CA 94930-1261 | 2007-05-23 |
| 1053502112 | Gislene Maria Peral | Occupational Therapist | 336 Olema Rd, Fairfax, CA 94930-1318 | 2007-08-05 |
| Find all providers in zip 94930 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910358 | Erica Vetter | Dentist | 10525 Braddock Rd Ste 9a, Fairfax, VA 22032-2257 | 2020-07-31 |
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1194367623 | Ruhee Jaffer | Dentist | 11213 Lee Hwy Ste A, Fairfax, VA 22030-5698 | 2019-10-16 |
| 1093367310 | Gina Genevia Askander | Dentist | 2810 Old Lee Hwy Ste 200a, Fairfax, VA 22031-4376 | 2019-07-16 |
| 1609436989 | Hanwool Kim | Dentist | 8303 Arlington Blvd Ste 104, Fairfax, VA 22031-2903 | 2019-06-18 |
| 1942776182 | Sapphire Dental Pllc | Dentist | 8622 Lee Hwy, Fairfax, VA 22031-2173 | 2018-10-15 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1710496294 | Fairfax Dentistry, Pllc | Dentist | 11351 Random Hills Rd Ste 102, Fairfax, VA 22030-6081 | 2017-09-27 |
| 1558886580 | Marc Dh Eun | Dentist | 4511 Plateau Dr, Fairfax, VA 22030-6281 | 2017-08-10 |
| 1639603459 | Kouros Hedayati, Dds, Plc | Dentist | 3545 Chain Bridge Rd Ste 5, Fairfax, VA 22030-2708 | 2017-04-18 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.