Garrett S. Fong, D.M.D., Inc.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

GARRETT S. FONG, D.M.D., INC.

Practice address

9909 East Las Tunas Drive
Temple City, CA 91780

Phone

(626) 286-7151

NPI assigned

Oct 31, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Garrett Scott Fong, DMDNPI 1225671803

Title

President

Phone

(626) 286-7151

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Garrett Scott Fong, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Temple City, CA
  • NPI 1225671803
  NPD Authorized official
• Terrence Lee Fong, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Temple City, CA
  • NPI 1194806786
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1124841986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W LONGDEN AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910078135",
            "telephone_number": "626-447-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 EAST LAS TUNAS DRIVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "91780",
            "telephone_number": "626-286-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT S. FONG, D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-286-7151",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Temple City, CA
• Providers in Temple City, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.