Pacific Dental Group is a Dental Clinic in San Rafael, California. It is located at 1523 5th Ave, San Rafael, CA and its contact number is 415-453-6277. The authorized person for Pacific Dental Group is Dr. Clark Fong
who is Owner of the clinic and their contact number is 415-453-6277. The primary license number for Pacific Dental Group is 40351 (General Practice) in California.
Pacific Dental Group Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Pacific Dental Group Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Pacific Dental Group |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1523 5th Ave, San Rafael,
California, 94901-1806 |
| Phone: | 415-453-6277 |
| Fax: | 415-453-6412 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Clark Fong |
| Position: | Owner |
| Contact Number: | 415-453-6277 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Pacific Dental Group clinic are as mentioned below.
| NPI Number: | 1669802435 |
| NPI Enumeration Date: | 15 Nov, 2013 |
| NPI Last Update On: | 15 Nov, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pacific Dental Group are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 40351 | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Pacific Dental Group
1523 5th Ave,
San Rafael, California |
| Zip: | 94901-1806 |
| Phone Number: | 415-453-6277 |
| Fax Number: | 415-453-6412 |
Patients can reach Pacific Dental Group at
1523 5th Ave, San Rafael, California or can
call to book an appointment on 415-453-6277.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.