Active NPIIndividual provider

Dr. Walter D Fonfara, DMD

Dentist, General Practice in Plainfield, Connecticut

NPI Number1104979285
Practice location
699 Norwich RD, Plainfield, CT 06374-1734
Fax
860-564-1848
Last updated
July 8, 2007

Walter D Fonfara is a Dentist, General Practice based in Plainfield, CT. Walter D Fonfara practices in Plainfield, CT and has the professional credentials of DMD. The NPI Number for Walter D Fonfara is 1104979285 and holds a License No. 7841 (CT). The current practice location address for Walter D Fonfara is 699 Norwich RD, Plainfield, CT 06374-1734 and can be reached out via phone at 860-564-1689 and via fax at 860-564-1848.

Provider Profile Details

NPI Number
1104979285
Provider Name
Walter D Fonfara
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
699 Norwich RD, Plainfield, CT 06374-1734
Phone Number
860-564-1689
Fax Number
860-564-1848
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
January 19, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
699 Norwich RD
Plainfield, CT 06374-1734
Zip
06374-1734
Phone Number
860-564-1689
Fax Number
860-564-1848
Plainfield, CT 06374Get directions →

Provider Business Mailing Address Details

Address
699 Norwich RD
P.o. Box 71
Plainfield, CT 06374-1734
City
Plainfield
State
CT
Zip
06374-1734
Phone Number
860-564-1689
Fax Number
860-564-1848

License Information

License Number
7841
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Walter D Fonfara, DMD?

The NPI number of Dr. Walter D Fonfara, DMD is 1104979285. It was assigned on January 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Walter D Fonfara, DMD?

Dr. Walter D Fonfara, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 7841.

Where does Dr. Walter D Fonfara, DMD practice?

The practice location is 699 Norwich RD, Plainfield, CT 06374-1734. The office can be reached at 860-564-1689 (phone) or 860-564-1848 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104979285 directly on the NPPES registry website.

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