Doctor profile · Federal record
Dr. Carole Burgess-Fongsam, DDS
General Practice Dentistry · Sandy Spring, MD
- NPI 1134447717
- 16 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
17810 Meeting House RD, Moore Bldg # 205
Sandy Spring, MD 208601038
(301) 774-3847
fax (301) 774-4528
Credentials & registration
- NPI registered
- May 2010 — 16 yrs on file
- Profile last updated
- March 14, 2016
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Maryland #9667
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1134447717. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$121
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ZIMVIE INC. | 1 | $120.70 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
16
Patients
11
Total drug cost
$78
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 16 | 11 | $78 |
Frequently asked questions
What is Dr. Carole Burgess-Fongsam's medical specialty?
Dr. Carole Burgess-Fongsam practices General Practice Dentistry in Sandy Spring, MD.
Where does Dr. Carole Burgess-Fongsam practice?
Dr. Carole Burgess-Fongsam practices at 17810 Meeting House RD, Sandy Spring, MD 208601038. Office phone: 3017743847.
What is Dr. Carole Burgess-Fongsam's NPI?
Dr. Carole Burgess-Fongsam's National Provider Identifier (NPI) is 1134447717, issued by NPPES.