NPI 1497106199 · live from the CMS NPI Registry
Katharina S Fung, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Sparks, NV. National Provider Identifier 1497106199, active.
NPI record
| NPI | 1497106199 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2125 Green Vista Dr Ste 104, Sparks, NV 89431 |
| Practice phone | 775-674-1444 |
| Enumerated | June 24, 2016 |
| Last updated | December 11, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 019032168 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.