Provider Demographics
NPI:1902479850
Name:JAMES FANG DDS PLLC
Entity type:Organization
Organization Name:JAMES FANG DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:FANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-538-5338
Mailing Address - Street 1:2299 STOCKER LN
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2119
Mailing Address - Country:US
Mailing Address - Phone:908-889-4363
Mailing Address - Fax:
Practice Address - Street 1:3712 PRINCE ST STE 7A
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4651
Practice Address - Country:US
Practice Address - Phone:718-888-0473
Practice Address - Fax:718-888-0692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty