TREVOR JORDAN FONG DDS NPI 1558176594

NPI Information

  • NPI: 1558176594
  • Provider Name: TREVOR JORDAN FONG, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 5655 COLLEGE AVE STE 312
    OAKLAND, CA
    ZIP 94618
  • Phone: (510) 653-6677

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NPI Details

Trevor Jordan Fong, DDS is a general practice dentist in Oakland, CA. The provider is 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. Trevor Jordan Fong, DDS NPI is 1558176594. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5655 COLLEGE AVE STE 312
OAKLAND, CA
ZIP 94618-671
Phone: (510) 653-6677
Fax: (510) 653-6689

The enumeration date for this NPI number is 2/7/2025 and was last updated on 2/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDDS110750CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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