GRANT RUSSELL FONG
Dentist (General Practice)

Address: 3000 L St Ste 215, Sacramento, CA 95816-5248

GRANT RUSSELL FONG (NPI# 1174127138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174127138
Entity Type Individual
Full Name DR. GRANT RUSSELL FONG
Gender Male
Credential DDS
Practice Address 3000 L St Ste 215
Sacramento
CA 95816-5248
Practice Telephone 9164577080
Mailing Address 820 Cobble Cove Ln
Sacramento
CA 95831-4309
Mailing Telephone 9162173177
Certification Date 2020-11-30
Enumeration Date 2020-11-30
Last Update Date 2020-11-30
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 1223G0001X Dentist
Specialization: General Practice
DDS105756 CA Dental Providers

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Other URL grantfong5@gmail.com (Email) 3000 L St Ste 215, Sacramento, CA 958165248

Office Location

Street Address 3000 L ST STE 215
City SACRAMENTO
State CA
Zip Code 95816-5248

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215108527 Inna Shturman Dentist - General Practice 3000 L St, Suite 104, Sacramento, CA 95816-5248 2008-03-13
1154872406 Capital Family Dental Group Dentist 3000 L St Ste 205, Sacramento, CA 95816-5248 2016-10-21
1588824379 Olga A. Beckinger Dentist - General Practice 3000 L St, Suite 104, Sacramento, CA 95816-5248 2008-06-15
1093066482 Brian D Tracy Od Optometrist 3000 L St Ste 100, Sacramento, CA 95816-5248 2012-09-25
1356308266 Brian D Tracy Optometrist 3000 L St, Suite 100, Sacramento, CA 95816-5248 2006-04-26
1235314600 Brian D Tracy, Od Optometrist 3000 L St, Ste 100, Sacramento, CA 95816-5248 2008-01-04
1104835966 Godwin Okungbowa Physician Assistant - Medical 3000 L St, Sacramento, CA 95816-5248 2006-08-07
1710176086 Robert E. Gillis, Jr, Dmd, Msd, A Professional Corporation · Robert E. Gillis, Jr, Dmd, Msd, Inc. Dentist - Prosthodontics 3000 L St Ste 205, Sacramento, CA 95816-5248 2007-10-23
1205366101 Medamerica Physician Solutions Inc · Vituity Surgical Care Surgery 3000 L St Ste 200, Sacramento, CA 95816-5248 2017-06-14
1134329261 Todd Brandon Andrews Dentist - General Practice 3031 F Street Suite 200, Sacramento, CA 95816-5248 2007-07-18
Find all in zip 95816-5248

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1417418955 Soraya Foutouhi Student in an Organized Health Care Education/Training Program 301 C Street, Suite 1400, Sacramento, CA 95816 2019-03-27
1902269459 Sacramento Institute for Psychotherapy · Sacramento Institute for Psychotherapy Psychologist - Counseling 2830 I Street, Ste 103, Sacramento, CA 95816 2016-04-01
1881067577 Tiana Nguyen Contractor 3441 Mckinley Village Way, Sacramento, CA 95816 2015-11-04
1528445699 Laarni Aoki Registered Nurse 2715 K Street, Suite D, Sacramento, CA 95816 2015-04-28
1295264646 Veronica Lynn Just Behavior Technician 3031 C St., Sacramento, CA 95816 2017-06-08
1346796661 Julie Thomas Physician Assistant 2725 Capitol Ave, 302, Sacramento, CA 95816 2016-08-28
1124537170 Phuong Huynh Behavior Technician 3009 C Street, Sacramento, CA 95816 2017-09-21
1013464114 Amanda Woodward Family Medicine 3000 Q St Fl 3, Sacramento, CA 95816 2016-09-06
1285163907 Marquise Jones Behavior Technician 3031 C Street, Sacramento, CA 95816 2017-06-06
1992194245 Kevin Edward Stone Counselor - Addiction (Substance Use Disorder) 1914 22nd Ave, Sacramento, CA 95816 2015-01-09
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811566680 Desiree Andrea Record Dentist - General Practice 3675 T St Apt 311, Sacramento, CA 95816-6669 2021-06-24
1134713886 Monica Crooks, Dds, Inc Dentist - General Practice 931 Howe Ave, Sacramento, CA 95825-3908 2021-02-23
1104418714 Momani Dds Inc. Dentist - General Practice 2693 Florin Rd, Sacramento, CA 95822-4524 2021-02-04
1104422245 S Park Dds Inc · Smile Dental of South Sacramento Dentist - General Practice 6163 Mack Rd, Sacramento, CA 95823-4654 2020-12-04
1104425248 Aditi Mehndiratta Dentist - General Practice 3640 Crocker Ave Ste 130, Sacramento, CA 95818-3970 2020-10-20
1639784424 Jonathan Robert Hayes Dentist - General Practice 605 Commons Dr, Sacramento, CA 95825-6633 2020-09-09
1942814512 Karisa Yamamoto Dentist - General Practice 786 Still Breeze Way, Sacramento, CA 95831-5548 2020-09-01
1659981447 Michael Steven Louie Dentist - General Practice 7608 Bridgeview Dr, Sacramento, CA 95831-4235 2020-08-05
1902426950 Yen Hai Nguyen Dentist - General Practice 5870 Da Vinci Way, Sacramento, CA 95835-2326 2020-04-20
1598302432 Alix Angelica Torres Dentist - General Practice 7227 29th St Ste C, Sacramento, CA 95822-5005 2019-12-10
Find all providers in SACRAMENTO

Competitor

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City SACRAMENTO
Zip Code 95816

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Dataset Information

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.