Elizabeth Luong DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

100585 Issued in CA

Legal business name

ELIZABETH LUONG DDS INC

Doing business as

4.0 Dental

Practice address

1747 Creekside Dr Ste 100
Folsom, CA 95630-3928

Phone

(916) 467-7920

NPI assigned

Apr 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Luong, DMDNPI 1992250773

Title

Owner/Dentist

Phone

(415) 513-3792

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 4.0 Dental Doing business as

Locations

Practitioners 1

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

• Elizabeth Luong, D.M.D.

  • General Practice Dentistry
  • Citrus Heights, CA
  • NPI 1992250773
  NPD Authorized official

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1437646379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 CREEKSIDE DR STE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303928",
            "telephone_number": "916-467-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 CREEKSIDE DR STE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303928",
            "telephone_number": "916-467-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH LUONG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "415-513-3792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "100585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4.0 Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "4.0 Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Leigh Eldridge, MS, RDN
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• Eleonor Loyola Griffith, DO, PC
• Elitecare Transit LLC
• Elizabeth Luong
• Catherine C. Elmasian, MD
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• Lin Mary Elsasser
• Emergency Medical Group of Folsom, Inc
• Emeritus Corporation

• Dentist in Folsom, CA
• Providers in Folsom, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.