Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Fang

Individual provider Dentist · NPI 1538793526

Justin Fang is a Dentist in Livermore, California. Practices as a sole proprietor. Licensed in California and Texas.

Licensed in
CA, TX
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

999 E Stanley Blvd Ste C
Livermore, CA 94550-4050
Phone: (925) 258-8450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 108877 (CA)
Dentist Taxonomy 122300000X · Licence 108877 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 37055 (TX)

Record details

NPI number1538793526
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 27, 2020
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023

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