Dr. Philip D Fantasia Jr., DDS
Dentist, General Practice in Watertown, Massachusetts
1871600023- Practice location
- 293 Mount Auburn St, Watertown, MA 02472-1955
- Phone
- 617-923-9446
- Fax
- 617-923-4250
- Last updated
- July 8, 2007
Philip Dominic Fantasia is a Dentist, General Practice based in Watertown, MA. Philip Dominic Fantasia practices in Watertown, MA and has the professional credentials of DDS. The NPI Number for Philip Dominic Fantasia is 1871600023 and holds a License No. 11934 (MA). The current practice location address for Philip Dominic Fantasia is 293 Mount Auburn St, Watertown, MA 02472-1955 and can be reached out via phone at 617-923-9446 and via fax at 617-923-4250.
Provider Profile Details
- NPI Number
- 1871600023
- Provider Name
- Philip Dominic Fantasia
- 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
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 24, 2006
- Last Update Date
- July 8, 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
- 617-923-4250
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
- 617-923-4250
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 Dr. Philip D Fantasia Jr., DDS?
The NPI number of Dr. Philip D Fantasia Jr., DDS is 1871600023. It was assigned on August 24, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Philip D Fantasia Jr., DDS?
Dr. 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 Dr. 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 617-923-4250 (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 1871600023 directly on the NPPES registry website.