Dan C Fong
Prosthodontist
4323 Hill St
Columbia
, South Carolina 29207-6022
Dan C Fong
Prosthodontist
4323 Hill St
Columbia
, South Carolina 29207-6022
(803) 751-5221
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dan C Fong
- 4323 Hill St
- Columbia, SC
- Zip : 29207-6022
- Phone : (803) 751-5221
Second Address
- Dan C Fong
- 4323 Hill St
- Columbia, SC
- Zip : 29207-6022
- Phone : (803) 751-5221
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 41249 | CA |
National Provider Identifier
| NPI | 1114979002 |
|---|---|
| Provider Name | Dan C Fong |
| First Address | Columbia, SC 29207-6022 |
| Second Address | Columbia, SC 29207-6022 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2006 |
| Last Update Date | 02/06/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.