location
search-icon
person
Dr. Madison Fantin, DDS
Pediatric Dentist in West Bloomfield, Michigan
NPI 1043805526

Madison Fantin is a Pediatric Dentist based in West Bloomfield, MI and is specialized in Pediatric Dentistry. Madison Fantin practices in West Bloomfield, MI and has the professional credentials of DDS. The NPI Number for Madison Fantin is 1043805526 and holds a License No. (Michigan).

The current practice location address for Madison Fantin is 2300 Haggerty Rd Ste 1180, West Bloomfield, MI and can be reached out via phone at 248-787-2037.

Location: 2300 Haggerty Rd Ste 1180, West Bloomfield, MI, 48323-2188
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043805526
Provider Name
Madison Fantin
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2300 Haggerty Rd Ste 1180, West Bloomfield, MI, 48323-2188
Phone Number
248-787-2037
Fax Number
Provider Enumeration Date
03/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2300 Haggerty Rd Ste 1180
City
West Bloomfield
State
Michigan
Zip
48323-2188
Phone Number
248-787-2037
Fax Number
person
Provider Business Mailing Address Details
Address
2300 Haggerty Rd Ste 1180
City
West Bloomfield
State
Michigan
Zip
48323-2188
Phone Number
248-787-2037
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2901601213 (Michigan)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.