Jennifer Fong, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Newark, New Jersey
1376200204- Practice location
- 66 Somme St, Newark, NJ 07105-3612
- Phone
- 973-288-2723
- Fax
- —
- Last updated
- November 27, 2021
Jennifer Fong is a Dentist, Orthodontics and Dentofacial Orthopedics based in Newark, NJ. Jennifer Fong practices in Newark, NJ and has the professional credentials of DDS. The NPI Number for Jennifer Fong is 1376200204 and holds a License No. 22DI02869600 (NJ). The current practice location address for Jennifer Fong is 66 Somme St, Newark, NJ 07105-3612 and can be reached out via phone at 973-288-2723.
Provider Profile Details
- NPI Number
- 1376200204
- Provider Name
- Jennifer Fong
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 66 Somme St, Newark, NJ 07105-3612
- Phone Number
- 973-288-2723
- Primary Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 27, 2021
- Last Update Date
- November 27, 2021
- Certification Date
- November 27, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 66 Somme St
Newark, NJ 07105-3612 - City
- Newark
- State
- New Jersey
- Zip
- 07105-3612
- Phone Number
- 973-288-2723
Provider Business Mailing Address Details
- Address
- 384 Paterson Ave # 206
East Rutherford, NJ 07073-1339 - City
- East Rutherford
- State
- NJ
- Zip
- 07073-1339
- Phone Number
- 916-607-4992
License Information
- License Number
- 22DI02869600
- License State
- NJ
- Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jennifer Fong, DDS?
The NPI number of Jennifer Fong, DDS is 1376200204. It was assigned on November 27, 2021 and is currently active in the NPPES registry.
What is the specialty of Jennifer Fong, DDS?
Jennifer Fong, DDS is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in NJ under license number 22DI02869600.
Where does Jennifer Fong, DDS practice?
The practice location is 66 Somme St, Newark, NJ 07105-3612. The office can be reached at 973-288-2723 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376200204 directly on the NPPES registry website.