DR. LYNDON DAIZO FONG LYNDON FONG DDS MS NPI 1578614558

NPI Information

  • NPI: 1578614558
  • Provider Name: DR. LYNDON DAIZO FONG, LYNDON FONG DDS MS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 1441 KAPIOLANI BLVD STE 616
    SUITE 616
    HONOLULU, HI
    ZIP 96814
  • Phone: (808) 947-3333

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NPI Details

DR. Lyndon Daizo Fong, LYNDON FONG DDS MS is a periodontics dentist in Honolulu, HI. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Lyndon Daizo Fong, LYNDON FONG DDS MS NPI is 1578614558. 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:

1441 KAPIOLANI BLVD STE 616
SUITE 616
HONOLULU, HI
ZIP 96814-403
Phone: (808) 947-3333
Fax: (808) 947-3381

The enumeration date for this NPI number is 1/16/2007 and was last updated on 7/8/2007.

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
11223P0300XDentistPeriodontics1441HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11441OTHERHAWAIIHI ST. DENTAL LIC. #

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: 3/30/2025

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