# FREMONT ORAL & MAXILLOFACIAL SURGERY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396211926
- **Authorized official:** DR. LINN MAUNG MD, DDS (PRESIDENT)
- **Authorized official phone:** (510) 220-5349

## Contact information

- **Practice address:** 4545 MATTOS DR, FREMONT, CA 94536-6736
- **Practice address phone:** (510) 792-9405
- **Practice address fax:** (510) 792-0212
- **Mailing address:** 4545 MATTOS DR, FREMONT, CA 94536-6736
- **Mailing address phone:** (510) 792-9405
- **Mailing address fax:** (510) 792-0212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2018
- **Last updated:** 05/12/2025