Active NPIIndividual provider

Dr. Camillo L Fontana, DMD

Dentist, General Practice in Fairfield, Connecticut

NPI Number1124038997
Practice location
1817 Black Rock Turnpike, Suite 205, Fairfield, CT 06825
Fax
203-576-0842
Last updated
October 25, 2017

Camillo L Fontana is a Dentist, General Practice based in Fairfield, CT. Camillo L Fontana practices in Fairfield, CT and has the professional credentials of DMD. The NPI Number for Camillo L Fontana is 1124038997 and holds a License No. 14299 (FL). The current practice location address for Camillo L Fontana is 1817 Black Rock Turnpike, Suite 205, Fairfield, CT 06825 and can be reached out via phone at 203-333-4700 and via fax at 203-576-0842.

Provider Profile Details

NPI Number
1124038997
Provider Name
Camillo L Fontana
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1817 Black Rock Turnpike, Suite 205, Fairfield, CT 06825
Phone Number
203-333-4700
Fax Number
203-576-0842
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 8, 2006
Last Update Date
October 25, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1817 Black Rock Turnpike
Suite 205
Fairfield, CT 06825
Zip
06825
Phone Number
203-333-4700
Fax Number
203-576-0842
Fairfield, CT 06825Get directions →

Provider Business Mailing Address Details

Address
1100 Kings Hwy East
Suite 3A
Fairfield, CT 06825
City
Fairfield
State
CT
Zip
06825
Phone Number
203-333-4700
Fax Number
203-576-0842

License Information

License Number (1)
14299
License State (1)
FL
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
DN14299
License State (2)
FL
Taxonomy (2)
Dentist, General Practice · 1223G0001X
License Number (3)
50710
License State (3)
NY
Taxonomy (3)
Dentist, General Practice · 1223G0001X
License Number (4)
09834
License State (4)
CT
Taxonomy (4)
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. Camillo L Fontana, DMD?

The NPI number of Dr. Camillo L Fontana, DMD is 1124038997. It was assigned on August 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Camillo L Fontana, DMD?

Dr. Camillo L Fontana, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in FL under license number 14299.

Where does Dr. Camillo L Fontana, DMD practice?

The practice location is 1817 Black Rock Turnpike, Suite 205, Fairfield, CT 06825. The office can be reached at 203-333-4700 (phone) or 203-576-0842 (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 1124038997 directly on the NPPES registry website.

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