Philip D Fantasia Jr DDS
Dentist, General Practice in Watertown, Massachusetts
1518151760- Practice location
- 293 Mount Auburn St, Watertown, MA 02472-1955
- Phone
- 617-923-9446
- Fax
- 617-923-4750
- Last updated
- August 30, 2007
Philip D Fantasia Jr DDS is a healthcare organization based in Watertown, MA. Philip D Fantasia Jr DDS practices in Watertown, MA. The NPI Number for Philip D Fantasia Jr DDS is 1518151760 and holds a License No. 11934 (MA). The current practice location address for Philip D Fantasia Jr DDS is 293 Mount Auburn St, Watertown, MA 02472-1955 and can be reached out via phone at 617-923-9446 and via fax at 617-923-4750.
Provider Profile Details
- NPI Number
- 1518151760
- Provider Name
- Philip D Fantasia Jr DDS
- Provider Entity Type
- Organization
- Address
- 293 Mount Auburn St, Watertown, MA 02472-1955
- Phone Number
- 617-923-9446
- Fax Number
- 617-923-4750
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Philip Domenic Fantasia, DDS · Dentist · 617-923-9446
- Provider Enumeration Date
- August 30, 2007
- Last Update Date
- August 30, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 293 Mount Auburn St
Watertown, MA 02472-1955 - City
- Watertown
- State
- Massachusetts
- Zip
- 02472-1955
- Phone Number
- 617-923-9446
- Fax Number
- 617-923-4750
Provider Business Mailing Address Details
- Address
- 293 Mount Auburn St
Watertown, MA 02472-1955 - City
- Watertown
- State
- MA
- Zip
- 02472-1955
- Phone Number
- 617-923-9446
- Fax Number
- 617-923-4750
License Information
- License Number
- 11934
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Philip D Fantasia Jr DDS?
The NPI number of Philip D Fantasia Jr DDS is 1518151760. It was assigned on August 30, 2007 and is currently active in the NPPES registry.
What is the specialty of Philip D Fantasia Jr DDS?
Philip D Fantasia Jr DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 11934.
Where does Philip D Fantasia Jr DDS practice?
The practice location is 293 Mount Auburn St, Watertown, MA 02472-1955. The office can be reached at 617-923-9446 (phone) or 617-923-4750 (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 1518151760 directly on the NPPES registry website.