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Dr. Philip Dominic Fantasia JR., DDS
General Practice Dentistry in Watertown, Massachusetts
NPI 1871600023

Philip Dominic Fantasia JR. is a General Practice Dentistry based in Watertown, MA and is specialized in General Practice. Philip Dominic Fantasia JR. practices in Watertown, MA and has the professional credentials of DDS. The NPI Number for Philip Dominic Fantasia JR. is 1871600023 and holds a License No. 11934 (Massachusetts).

The current practice location address for Philip Dominic Fantasia JR. is 293 Mount Auburn St, Watertown, MA and can be reached out via phone at 617-923-9446 and via fax at 617-923-4250.

Location: 293 Mount Auburn St, Watertown, MA, 02472-1955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871600023
Provider Name
Philip Dominic Fantasia JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
293 Mount Auburn St, Watertown, MA, 02472-1955
Phone Number
617-923-9446
Fax Number
617-923-4250
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
293 Mount Auburn St
City
Watertown
State
Massachusetts
Zip
02472-1955
Phone Number
617-923-9446
Fax Number
617-923-4250
person
Provider Business Mailing Address Details
Address
293 Mount Auburn St
City
Watertown
State
Massachusetts
Zip
02472-1955
Phone Number
617-923-9446
Fax Number
617-923-4250
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
11934 (Massachusetts)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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