National Provider Identifier Database

JUSTIN FANG
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

JUSTIN FANG
999 E STANLEY BLVD STE C
LIVERMORE, CA94550-4050
Phone: 925-258-8450
Fax:
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X
Dentist 122300000X
General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for JUSTIN FANG

NPI Number 1538793526
Credentials
Entity Individual
Enumeration date 02/27/2020
Last updated 09/08/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 108877
  • TX License #: 37055
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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