Active NPIOrganization

Matthew R. Fantasia, D.m.d., P.c.

Dentist, General Practice in Wellesley, Massachusetts

NPI Number1386995397
Practice location
372 Washington St, Wellesley, MA 02481-6202
Fax
781-235-9195
Last updated
October 15, 2012

Matthew R. Fantasia, D.m.d., P.c. is a healthcare organization based in Wellesley, MA. Matthew R. Fantasia, D.m.d., P.c. practices in Wellesley, MA. The NPI Number for Matthew R. Fantasia, D.m.d., P.c. is 1386995397 and holds a License No. DN 14506 (MA). The current practice location address for Matthew R. Fantasia, D.m.d., P.c. is 372 Washington St, Wellesley, MA 02481-6202 and can be reached out via phone at 781-235-1146 and via fax at 781-235-9195.

Provider Profile Details

NPI Number
1386995397
Provider Name
Matthew R. Fantasia, D.m.d., P.c.
Provider Entity Type
Organization
Address
372 Washington St, Wellesley, MA 02481-6202
Phone Number
781-235-1146
Fax Number
781-235-9195
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Matthew R. Fantasia, DMD · President · 781-235-1146
Provider Enumeration Date
October 1, 2012
Last Update Date
October 15, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
372 Washington St
Wellesley, MA 02481-6202
Zip
02481-6202
Phone Number
781-235-1146
Fax Number
781-235-9195
Wellesley, MA 02481Get directions →

Provider Business Mailing Address Details

Address
372 Washington St
Wellesley, MA 02481-6202
City
Wellesley
State
MA
Zip
02481-6202
Phone Number
781-235-1146
Fax Number
781-235-9195

License Information

License Number (1)
DN 14506
License State (1)
MA
Taxonomy (1)
Dentist, Prosthodontics · 1223P0700X
License Number (2)
DN 20441
License State (2)
MA
Taxonomy (2)
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 Matthew R. Fantasia, D.m.d., P.c.?

The NPI number of Matthew R. Fantasia, D.m.d., P.c. is 1386995397. It was assigned on October 1, 2012 and is currently active in the NPPES registry.

What is the specialty of Matthew R. Fantasia, D.m.d., P.c.?

Matthew R. Fantasia, D.m.d., P.c. is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN 14506.

Where does Matthew R. Fantasia, D.m.d., P.c. practice?

The practice location is 372 Washington St, Wellesley, MA 02481-6202. The office can be reached at 781-235-1146 (phone) or 781-235-9195 (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 1386995397 directly on the NPPES registry website.

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