Dr Rickey Lance Fong, DDS in Campbell, CA - Dentist

Dr Rickey Lance Fong, DDS is a Dentist based in Campbell, California. Dr Rickey Lance Fong is licensed to practice in California (license number 036753) and his current practice location is 621 E Campbell Ave, Suite #4, Campbell, California. He can be reached at his office (for appointments etc.) via phone at (408) 374-0501.

NPI number for Dr Rickey Lance Fong is 1336346915 and his current mailing address is 621 E Campbell Ave, Suite #4, Campbell, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336346915.

Contact Information

	Dr Rickey Lance Fong, DDS
	621 E Campbell Ave, Suite #4, Campbell, CA 95008-2139
	(408) 374-0501
	Not Available

Healthcare Provider's Profile

Full Name	Dr Rickey Lance Fong
Gender	Male
Speciality	Dentist
Location	621 E Campbell Ave, Campbell, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1336346915
Provider Enumeration Date: 06/28/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Rickey Lance Fong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336346915	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	036753 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Rickey Lance Fong is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Rickey Lance Fong, DDS 621 E Campbell Ave, Suite #4, Campbell, CA 95008-2139 Ph: (408) 374-0501	Dr Rickey Lance Fong, DDS 621 E Campbell Ave, Suite #4, Campbell, CA 95008-2139 Ph: (408) 374-0501

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Dentist in Campbell, CA

Dr. Emily Eunsoo Kim-hull, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 486 E Campbell Ave Ste 101, Campbell, CA 95008 Phone: 408-761-5662 Fax: 408-374-9407
Dr. Prathima Chawla, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2505 S Bascom Ave, Campbell, CA 95008 Phone: 720-987-6116
Dr. Heinz Jurgen Klein, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 2020 S. Bascom Ave, Ste. 101, Campbell, CA 95008 Phone: 408-371-1313 Fax: 408-371-1817
Dr. Sucharitha Marneni, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1580 Winchester Blvd Ste 303, Campbell, CA 95008 Phone: 408-378-3489
Ruth Sun, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1930 S Bascom Ave, Campbell, CA 95008 Phone: 408-963-6120
Dr. Amir Mohammad Chalak, D.D.S., M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1580 Winchester Blvd Ste 101, Campbell, CA 95008 Phone: 408-379-5360
Dr. Hilda Kanon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 310 W Hamilton Ave, Suite 100, Campbell, CA 95008 Phone: 408-370-1185 Fax: 408-370-7716

Dr Rickey Lance Fong, DDS - Dentist in Campbell, CA