National Provider Identifier Database

FUCONG TIAN, BDS, PHD – NPI #1992295646
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

FUCONG TIAN, BDS, PHD
12040 W BROAD STREET
HENRICO, VA23233
Phone: 804-364-7010
Fax: 706-721-6778
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for FUCONG TIAN

NPI Number 1992295646
Credentials BDS, PHD
Entity Individual
Enumeration date 05/17/2018
Last updated 07/09/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • GA License #: DNF000434
  • TX License #: 37946
  • VA License #: 0401418375
  • WA License #: DE61171559
  • GA Medicaid: 003241248A
  • SC Medicaid: ZX0434
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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